Director, Clinical Pharmacy
Company: Humana
Location: Rogers
Posted on: January 27, 2023
Job Description:
DescriptionThe Director, Clinical Pharmacy Drug Evaluation and
Policy Strategies oversees drug class reviews/evaluation, clinical
policy strategy development, research, P&T committee oversight,
and accreditation. This position will work and collaborate with
leaders across the Humana enterprise, HPS executive leaders, as
well as have extensive engagement representing Humana with drug
manufacturers and providers.ResponsibilitiesThe Director, Clinical
Pharmacy Drug Evaluation and Policy Strategies requires a broad
understanding of pharmacy, managed care, and specialty to develop
and/or implement clinical strategies to mitigate cost while
improving health outcomes. He/she requires an in-depth
understanding of how organization capabilities interrelate across
the function and segment.Responsibilities
- Leads Humana's Pharmacy and Therapeutics processes including
overseeing clinical drug reviews, drug policy development and drug
utilization management strategies
- Leads a team of clinical pharmacists that serve as subject
matter experts in assigned therapeutic areas
- Promotes evidence-based medicine and total cost of care models
in our pharmacy processes and formulary decisions
- Works with appropriate business partners to ensure accurate and
timely implementation of drug strategy decisions
- Ensures that compliance standards set by regulators, URAC, and
NCQA are defined and documented in Humana's policies and
procedures, and processes are followed and audited
- Works closely with our research and analytics teams to generate
real-world evidence
- Supports reviews of provider and member communications related
to drug strategies
- Participates in Humana committees as appropriate
- Promotes a continuous process improvement mindset, with a focus
on comprehensive process documentation and quality
- Advocates for Humana's clinical drug strategies in internal and
external forumsRequired Qualifications
- Pharmacy degree from an accredited school of pharmacy
- Clear and active Pharmacist license in the state(s) in which
you are required to practice
- 8+ years of clinical experience in managed care or equivalent
experience
- 5+ years of formulary and drug policy development experience or
equivalent experience
- 5+ years experience in effectively leading direct reports and
cross-functional teams
- Strong track record of driving solutions that achieved clinical
and financial outcomes
- 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 traditional and specialty medications
- Ability to influence and build relationships with people across
all levels and organizations internally and externallyPreferred
Qualifications
- MBA, pharmacoeconomics or health outcomes training
- Board Certified Pharmacist
- Experience in finance and/or business-related pharmacy
practiceAdditional Information
- Ability to travel approximately 10%
- Must be able to work during core business hours, Monday-Friday
8AM-5PM EST
- Humana and its subsidiaries require vaccinated associates who
work outside of their home to submit proof of vaccination,
including COVID-19 boosters. Associates who remain unvaccinated
must either undergo weekly negative COVID testing OR wear a mask at
all times while in a Humana facility or while working in the
field.To ensure Home or Hybrid Home/Office associates' ability to
work effectively, the self-provided internet service of Home or
Hybrid Home/Office associates must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of
10 Mbps is recommended; wireless, wired cable or DSL connection is
suggested
- Satellite, cellular and microwave connection can be used only
if approved by leadership
- Associates 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 associates 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 informationScheduled Weekly
Hours40Humana complies with all applicable federal civil rights
laws and does not discriminate on the basis of race, color,
national origin, age, disability, sex, sexual orientation, gender
identity or religion. We also provide free language interpreter
services. See our
https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Keywords: Humana, Rogers , Director, Clinical Pharmacy, Executive , Rogers, Arkansas
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