Pharmacy Contracting Professional
HumanaAbout the role
Become a part of our caring community and help us put health first
The Pharmacy Contracting Professional 2 ensures all published materials support the contracting process, including but not limited to pharmacy provider manuals for Medicare and Medicaid, policy documents, pharmacy communications, regulatory contract compliance, and other communications. The Pharmacy Contracting Professional 2 may perform analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities, draft communications for stakeholder review and approval, and coordinate with various departments to draft, approve, and publish communications. The Pharmacy Contracting Professional 2 understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.The Pharmacy Contracting Professional 2 ensures all published materials support the contracting process, including but not limited to pharmacy provider manuals for Medicare and Medicaid, policy documents, pharmacy communications, regulatory contract compliance, and other communications. The Pharmacy Contracting Professional 2 may perform analysis regarding pharmacy claims and purchasing data to identify future contracting opportunities, draft communications for stakeholder review and approval, and coordinate with various departments to draft, approve, and publish communications. The Pharmacy Contracting Professional 2 understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree or 1 - 4 years' experience in pharmacy contracting, or pharmacy administrative support, or marketing/communications for pharmacy or payer networks, including development, implementation, and maintenance of documentation, policies, communications, or similar standards.
- Ability to manage multiple tasks and deadlines with attention to detail.
- Strong verbal and written communication skills
- Previous account management, project management or related experience
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
- Master's Degree
- Process improvement experience
- Strong financial acumen with proficiency in analyzing and interpreting data
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 Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
SSN 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.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faApply for this role
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