Senior Pharmacy Clinical Advisor- Clinical Formulary and Medical Drug Strategies

Profile

Description

The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes. The Senior Pharmacy Clinical Advisor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Pharmacy Clinical Advisor uses clinical and financial data driven methods to develop and influence formulary strategies for all Humana lines of business.


Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support the development of formulary strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs.
Help facilitate and provide transparency to informed formulary decisions made consistent with our formulary guiding principles and enterprise objectives.
Translates information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies.
Works across multiple departments to support formulary strategy development and decisions.
Works with appropriate business partners to ensure accurate and timely implementation of formulary decisions.
Leverages market trends and competitive intel insights to support the development of formulary strategies.
Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.


Required Qualifications


Bachelor's degree or equivalent
3 years of clinical experience in managed care or other pharmacy related field
Experience in analysis and problem-solving
Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership
Flexible, dynamic personality who works well in a team environment and is also an individual contributor
Ability to prioritize, organizes, and executes effective time management
Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
Ability to work in either a team or an individual capacity to achieve goals and meet deadlines
Successful track record in facilitating and consulting across teams and managing projects


Preferred Qualifications


Pharmacy Degree from an accredited School of Pharmacy
MBA
BPS Board Certification (any BPS certification)
Pharmacy practice residency or similar pharmacy practice experience
Knowledge of Medicare as it relates to pharmacy
Experience in finance and/or business-related pharmacy practice


Additional Information

Scheduled Weekly Hours

40

Humana 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 ****

Company info

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