Clinical Pharmacy Director (CarePlus)

Company: Humana Inc.
Location: Miami
Posted on: November 22, 2020

Job Description:

DescriptionThe Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Director, Clinical Pharmacy requires an in-depth understanding of how organization capabilities interrelate across the function or segment.ResponsibilitiesThe Director, Clinical Pharmacy develops, maintains, and/or operationalizes formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. Conducts analysis on drug utilization trends to evaluate and inform formulary strategies. Collaborates on research projects and develops proposals for research projects. Develops corporate communications to be shared with senior leadership. Supports trend management of internal dept. production metrics as well as align with Enterprise dept's on impact for plan membership.--Conducting analysis of drug spend, utilization, and/or approval scenarios. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy.Required QualificationsBachelor's degree in pharmacyMust have an active Pharmacist license with the Board of Pharmacy for the State of Florida8+ yrs experience developing or maintaining formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products.5 or more years of management experienceExperience developing and leading successful strategiesExperience in leading multifaceted departmentsSuccess leading teams, including direct-reports and matrixed functionsMust be passionate about contributing to an organization focused on continuously improving consumer experiencesPreferred QualificationsA postgraduate degree such as MBA, MHA, PharmDKnowledge of Humana's internal policies, procedures and systemsAdditional InformationScheduled Weekly Hours40 Full time R-241793 About Us About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms ?when and where they need it. Our employees are at the heart of making this happen and that?s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where--you as a candidate are asked to provide information and do not believe it is--a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here : Director of LTSS Provider Contracting Posted 5 Days Ago - Work at Home Kentucky, More...

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