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The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Formulary Strategy Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist develops, maintains, and/or operationalizes strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered drug products. This individual influences the department’s strategy.

Participate in Humana’s formulary and Pharmacy and Therapeutics processes

Acts Strategically: Has vision, anticipates future consequences and trends accurately; has broad knowledge and perspective; creates competitive and breakthrough strategies and plans.

Builds Trust: You honor your word by doing what you say you are going to do.

Drives for Excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.

Innovates - Introduces or develops new ideas and processes which improve performance or productivity.

Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.

Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

Use your skills to make an impact
 

Required Qualifications

• Pharmacy degree from an accredited school of pharmacy

• Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state

• Complete clinical reviews, policy development and recommend drug coverage and potential drug utilization tools to mitigate Humana’s cost and trend while improving our member’s health and costs

• Serve as a clinical subject matter expert and provide clinical support across Humana

• Conducts analysis on drug utilization trends to evaluate and inform formulary strategies.

• Collaborates on research projects and develops proposals for research projects.

• Develops corporate communications to be shared with senior leadership.

• Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.

• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

• Clinical experience in managed care or other pharmacy related field

• Less than 10% travel requirement including visit(s) to home office in Louisville, KY

• BPS Board Certification (any BPS certification; BCOP Preferred) 

Preferred Qualifications

• Pharmacoeconomics and Health Outcomes training

• Pharmacy practice residency or similar pharmacy practice experience

• Knowledge of Medicare and Medicaid as it relates to pharmacy

• Six Sigma and/or Project Management Professional certification

Additional Information

Interview Format:
As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule.

If you are selected for a first round interview, you will receive an email/text correspondence inviting you to participate in a Modern Hire interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should a