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As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of a provider to that of a well-being partner who will empower consumers to live a life that’s healthy, active and rewarding.

In order to fulfill that mission, we’ve launched a search focused on identifying a talented and influential leader to lead our Pharmacy Stars and Provider Engagement Team.

Humana is seeking a proven healthcare executive focused on leadership, culture and strategic business development with extensive quality measure performance experience.  Demonstrated ability to define vision and strategy, drive transformation, achieve objectives, attract, develop and retain top talent.  This leader will work and collaborate with leaders across the Humana enterprise, Humana Pharmacy Solutions executive leaders as well as partner incredibly closely with our broader Stars leadership team. 

This role is responsible for leading an organization with a mission to improve our members health outcomes via optimized medication use.  The right candidate exemplifies a balanced approach of business acumen and deep clinical knowledge and optimizes his/her resources by building a culture of accountability, high performance, and collaboration. In addition, this leader will utilize a broad understanding of managed care and PBM practice to develop, implement, and optimize strategies and programs to driver best in class quality measure performance and provider engagement.

Responsibilities

• Owns the clinical program strategy for Pharmacy Stars quality measure performance, including end-to-end Pharmacy Stars strategy and execution.  This is inclusive of ongoing innovation to drive improvement in existing measures, preparation for measures on display and a commitment to ongoing performance improvement. 

• Partners and collaborates with executive level leaders in the Retail organization to align programmatic and experience driven strategies to improve Stars performance.

• Serves as a key point of contact between our Medicare Stars team, and Retail Clinical Strategy team and pharmacy; partners beyond the patient safety domain to drive Stars performance across the enterprise.

• Supports our Opioid focused clinical programs.

• Drives our Medication Therapy Management (MTM) strategy, delivering value and operational efficiency via strong vendor management.

• Oversite of pharmacy provider engagement strategy; driving Stars performance and optimization of medication therapy for Humana plan members.

• Serves as a relationship owner externally for Pharmacy Quality Alliance- a key organization that influences CMS for quality measures that become part of the Stars program

• Leads vendor strategy to drive performance and operational efficiency across all clinical programs.

• Leads retail pharmacy partnership strategy to drive performance

• Partners closely with Retail and Centerwell partners to drive enterprise value and health outcomes.

• Invests in the growth and development of associates.

• Integrates across the broader pharmacy organization to amplify the enterprise value of pharmacy.

• Prepare executive level communications, speaking to team performance and enterprise collaboration

• Effectively manages program budget

Key Competencies

• Leads Change: Models agility, adaptability and an openness to new ways of thinking and operating. Guides and energizes others to embrace new opportunities arising from change. Inspires strong organizational performance through periods of transformation, ambiguity, and complexity.

• Leads Positively: Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Empowers and guides associates to take personal responsibility, encouraging them to productively learn, flourish, and strengthen team capacity. Assesses, selects, recognizes, and develops diverse talent to capitalize on competencies, ideas and passions.

• 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

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

• Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both in