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The Director, Clinical Pharmacy 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 Director, Clinical Pharmacy requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana enterprise, HPS executive leaders as well as engagements with external vendors.

Job Description

The Director, HPS Clinical Programs requires a broad understanding of pharmacy, managed care, and patient centered clinical programs with a focus on improving health outcomes via optimized medication use.

Responsibilities

• Demonstrate the highest level of enterprise leadership in order to build a high performing team, optimize results, and collaborate across Humana's matrixed organization.
• Utilize broad understanding of pharmacy, managed care and study design to develop patient centered clinical programs with a focus on improving health outcomes via optimized medication use.
• Deliver new and incremental pharmacy and medical cost trend savings, and work efficiently with his/her resources.
• Lead our clinical program design, vetting and implementation process.
• Partners with clinical and business professionals, actuaries and operations in a team environment
• Proactively monitors relevant publicly available news/developments in the pharmaceutical sector to direct relevant clinical program ideation
• Foster a long term vision, elevating the role of the pharmacist within patient care and promote the creation of clinical programs that highlight the value of pharmacist intervention.
• Continuously invest in both clinical program creation and optimization of existing offerings.
• Supports clinical research integration activities with internal research department
• Participates in Humana enterprise committees as appropriate
• Partner with Care Management leadership to promote integrated solutions.

Required Qualifications

• Eight years clinical experience in managed care or equivalent experience
• Three+ years of leadership experience
• Registered pharmacist; Degree of Doctor of Pharmacy
• Deep business and financial acumen
• Strong track record of driving solutions that achieved clinical and financial outcomes
• Demonstrates initiative with a results orientation, and is highly resourceful (stretches people and money; compresses time)
• Experience with effectively coaching, developing and leading direct reports and cross-functional teams
• Complex and innovative problem-solving, analytical, critical and strategic thinking capabilities; knows how to create options and then converge on solutions
• Brings an organized, attention-to-detail approach (strong tactical execution)
• Exceptional cross-functional collaboration, relationship management, influencing, and interpersonal skills
• Impeccable oral and written communication skills, as well as the polish, poise, and executive presence to effectively interact with and present to external partners and executive and senior-level stakeholders
• Very disciplined; has the ability to manage competing priorities and operate effectively within a large and complex organizational structure
• Ability to engage, educate, influence and guide matrixed teams at all levels on the concepts, opportunities and strategy of managing specialty and traditional medications

Preferred Qualifications

• MBA, Pharmacoeconomics or health outcomes training
• Board Certified Pharmacotherapy Specialist
• Experience in finance and/or business related pharmacy practice
• An understanding of financial analysis and equity research
• Experience in health outcomes research
• Previous experience in trend analysis
• Previous experience in study design

Use your skills to make an impact
 

Additional Information:

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

Work at home requirements:

To ensure Home or Hybrid Hom