Become a part of our caring community and help us put health first
 

We are seeking an experienced and strategic leader to fill the position of Director of Internal Pharmacy Forecasting and Performance Analytics. This role will lead a dynamic team comprised of five direct reports and 1-2 indirect reports. The Director will play a key role in driving business decisions and growing our pharmacy business. This leader will need deep understanding of the complexities of Medicare Part D benefit design and regulatory changes to develop and inform top business leaders on growth strategies for our business. This role will require strong technical and modeling skills to forecast pharmacy volume, inform mail order utilization expectations for CMS bid, and understand utilization and market share trend drivers.

Key Responsibilities:

• Lead efforts to forecast pharmacy volume and establish pharmacy budgets through deep knowledge of pharmacy trends, taking into account regulatory changes in the Medicare Part D space
• Work with actuarial team to understand impact of benefit design changes on pharmacy utilization to inform CMS Bid
• Develop strategies to optimize pharmacy business, influence decision making of top leaders across our company 
• Provide analytical insights through financial modeling and forecasting prescription utilization trends
• Monitor growth and refill volumes against forecasted expectations, identifying variances from budgeted expectations and explore potential drivers
• Consult on and build executive-level dashboards focusing on metrics such as prescription retention, growth attainment, overall market share, and abandonment rates
• Work collaboratively with cross-functional teams, including marketing, actuarial, and finance
• Develop and lead a team of both direct and indirect reports, fostering a culture of performance and collaboration.

Key Candidate Qualifications:

• A minimum of 8 years of analytics experience in the healthcare industry, ideally with extensive experience in pharmacy business and data
• At least 5 years of management experience, demonstrating the ability to lead and retain a team of high performers
• Expertise in forecasting and scenario modeling methodologies 
• Proven experience in strategy development and enablement, preferably within the pharmacy or healthcare industry
• Excellent analytical, problem-solving, consultative, and communication skills
• Advanced degree (Master's preferred) in a relevant field
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Strong analytical mindset with the ability to translate complex analytical results into actionable insights for business strategies
• Proven experience in collaborating with cross-functional teams, including finance and operations
• Visionary - embraces the big picture and translates into strategy; anticipates longer term business needs and prepares team to take on challenges
• Effective Influencer
• Talent mindset - integrates organization effectiveness, winning culture and human capital
• Emotion intelligence
• Presence - comfortable with senior leaders and other functional areas
• Persuasive - effectively communicates trade-offs of business decisions and can sway an audience towards a course of action inclusive of external audiences and sharing business rationale

Use your skills to make an impact
 

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$172,200 - $236,900 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disab