Senior Clinical Pharmacist - Medicaid Pharmacy Trend Programs

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The Senior Clinical Pharmacist - Medicaid Pharmacy Trend Programs, serving on the Stewardship Program Innovation and Rx Trend team, plays a crucial role in driving collaboration across teams to implement essential clinical program strategies across Medicaid lines of business. This position is central to advancing the ongoing growth and innovation of our pharmacy clinical programs. The successful candidate will work closely with colleagues across various programs and key partner teams to foster collaborative achievement and uphold program excellence. Key Responsibilities:

- Performing functions to execute and track various clinical program strategies, including:
- Collaborating with multiple partner teams, such as Medicaid Customer Success, Trend Detection, Trend Management, Pharmacy Analytics and Consulting (PAC), Marketing, and Humana Clinical Pharmacy Review to ensure alignment and seamless program execution.

- Collaborating on the maintenance of clinical program target drug lists with the Clinical Formulary and Medical Strategies team.

- Tracking, analyzing, and reporting program-specific key performance indicators to inform decision-making and demonstrate outcomes.

- Develop and sustain effective working relationships with external vendors and internal operations teams to foster program success.

- Participate in clinical program innovation, including the development of new program initiatives and the ideation and testing of enhancements to existing programs.

This role requires a proactive approach to cross-functional teamwork and a commitment to continuous improvement, in alignment with Humana 's focus on championing innovation and collaboration across our organization.

Use your skills to make an impact

Required Qualifications:

- PharmD from an accredited institution.

- Active pharmacist license with the Board of Pharmacy in state of residence

- Excellent communication and collaboration skills.

- Strong Microsoft Excel skills that would allow for efficiently tracking, analyzing and creating insights from various data sets.

- Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions.

Preferred Qualifications

- Managed Care Residency Training or 3 years working as a managed care pharmacist

- Board Certification

- Master's Degree in Business Administration or a related field

- Operations experience

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 with instructions on how to add the information into your official application on Humana 's secure website
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 connectio