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Humana Clinical Pharmacy Lead, Specialty Programs in Boston, Massachusetts

Description

Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that helps translate the clinical into financial to ensure Humana profitability.

This individual will work closely with multiple teams throughout the enterprise to maximize Humana's strategic approach to specialty drug therapy optimization and specialty drug focused clinical programs. As specialty drugs continue to drive the pharmaceutical pipeline it is imperative that we continuously innovate and respond to the unique challenges of specialty drugs and unique needs of our specialty membership.

Responsibilities

  • Drive the development and execution of clinical programs focused on specialty drug therapy optimization.

  • Oversee and lead the specialty drug clinical program strategy value assessment, forecasting the savings of the strategy and tracking actual experience to projection.

  • Produce top quality presentations and reports to be shared with senior leadership such as program updates, and market event notifications.

  • Lead the analysis and generation of insights related to specialty drugs trends to inform future specialty drug strategy.

  • Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights, related to specialty clinical program opportunity.

  • Utilizes broad understanding of managed care, specialty drug trends and clinical program development to drive a continuous pipeline of specialty initiatives.

  • Collaborate with pharmacists, business professionals and actuaries in a team environment.

  • Collaborates with Clinical Integration and Implementation team around defining integration strategies for program implementation, such as providing feedback on business requirements.

  • Maximize use of clinically integrated platforms to drive innovation and specialty program success.

  • Present confidently to senior leadership on key metrics including specialty clinical strategy and program performance.

  • Support clinical research integration activities with internal research department.

  • Work holistically with our operational partners to execute specialty initiatives and continuously improve the process.

  • Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results.

  • Champion for enterprise wide specialty drug strategy, working through others to execute on shared goals.

Competencies

  • Understands managed care and is capable of generating broad insights into the business

  • Self-directed

  • Accountable to financial goals and a history of delivering business results

  • Ability to influence others to achieve goals and meet deadlines

  • Strong critical thinking skills

  • Works well independently and within a team setting to achieve goals and meet deadlines

  • Demonstrates initiative and the ability to multi-task and prioritize assignments

  • Ability to lead initiatives or projects

  • Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data

  • Very strong presentation skills

  • Able to produce clear, concise documentation

  • Ability to communicate across disciplines

  • Strategic vision, long term focus

  • Experience launching clinical programs, setting KPIs and driving continuous process improvement.

  • Positive and proactive

Required Qualifications

  • Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy

  • Active, unrestricted pharmacy licensure

  • Three years clinical experience in managed care or pharmacy related field

Preferred Qualifications

  • MBA, pharmacoeconomics or health outcomes training

  • Six Sigma, Lean (or other quality program) background

  • Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership

  • Flexible, dynamic personality with a demonstrated ability to lead and influence others without authority while contributing individually

  • Previous experience in trend analysis

  • Previous experience in clinical program development and leadership

  • Previous experience in clinical integration (e.g. clinical rules engines, EMR)

  • Working knowledge of MS excel, MS PowerPoint required

Additional Information

  • Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Montage Voice to enhance our hiring and decision-making ability. Montage Voice 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.

  • If you are selected for a first round interview, you will receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication isn't missed) inviting you to participate in a Montage Voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 20 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

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