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

The Clinical Pharmacy Lead 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 Pharmacy Lead works on problems of diverse scope and complexity ranging from moderate to substantial

The Clinical Pharmacy Lead is a key stakeholder to Pharmacy and Medicare Retail organization leadership in the management of Value Based Providers. Clinical Pharmacy Leads (CPLs) have a key focus on provider engagement with value based primary care practices in improving financial, clinical, and quality outcomes related to pharmacy Key Performance Indicators. CPLs manage the entire Value Based (VB) Provider Panel within their respective regional alignment as their book of business. They use data points around current performance (mail order rate, patient safety scores, etc.) and input from Retail stakeholders to prioritize their engagements. CPLs leverage various value props to promote CenterWell Pharmacy to VB Group leadership (examples: auto refill, medication adherence). CPLs serve as the “Face of CenterWell Pharmacy” through an account management/service function. They support Medicare Regions as pharmacy advisor on a wide variety of topics (Formulary, spend and trend, etc.)

Use your skills to make an impact
 

• Medicare Region + Provider Account Management (50%)

  • CPLs are regionally aligned and work closely with internal regional leadership to support value- based providers on numerous pharmacy topics. The collective teams support Stars, MRA and Provider Engagement teams by serving as Pharmacy SME for JOC and working team meetings

  Rx Growth Initiative Execution (35%)

  • CPLs have a unique and invaluable line of sight into the needs and nuances of their aligned clients and provider groups. They partner with our strategy team to take fledging ideas coming from the regions from concepts to pilots, collateral needs, new data views, etc. to advance our growth goals
  • The teams serve as execution arm for many of the CenterWell Pharmacy Growth team’s test and learns and pilots

  Strategic Partnerships (15%)

  The team partners with multiple HPS and Retail groups to help drive initiatives that support Rx cost savings, medication adherence, and Patient Safety Stars measure compliance. Examples include but are not limited to:

  • Maximize Your Benefits
  • Medication Therapy Management
  • VBID Strategy Team
  • Stars Patient Safety

  Role Essentials:

  • Bachelors or other advanced pharmacy degree
  • 5+ years’ experience as a practicing pharmacist
  • Excellent organization and communication (verbal and written) skills
  • Ability to work in a team environment and support common goals
  • Strong attention to detail; able to concentrate without distraction in a fast-paced environment
  • Ability to prioritize multiple tasks, anticipate and solve problems
  • Intermediate level or higher competency with MS Office programs such as Word, Excel and Power Point
  • Ability to use digital platforms like Zoom, MS Teams or WebEx
  • History of demonstrated business development capabilities
  • Proficient in quality improvement processes, analyzing and interpreting financial trends
  • Excellent written and verbal communication skills; effectively facilitates and present to large groups and all levels of leadership including HPS Exec/Humana Management Team level
  • Ability to maintain high engagement level

  Role Desirables:

  • Medicare product experience
  • Previous Provider Engagement experience
  • Previous Pharmaceutical Sales Experience
  • Experience with development, monitoring and evaluating the KPIs and outcomes of pilots, test and learns and initiatives
  • Familiarity with electronic medical record (EMR) systems
  • Identify and implement innovative solutions for improved efficiencies and outcomes
  • Multilingual (preferably English/Spanish)
  • Experience in building strategy and quantifying outcomes of key organizational activities

  This position may require occasional travel outside or Florida.

Additional Information

Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.As part of our hiring process for this opportunity, we will be using an in