9 days old

Clinical Pharmacy Lead (Group Medicare)

Humana
Ridgeland, MS 39157
  • Jobs Rated
    33rd
Description This role supports the Humana Group Medicare (EGWP) plans for all pharmacy activities. The Clinical Pharmacy Lead will be responsible for providing consultative Account Management Pharmacy Support for the Public Education Employees Health Insurance Plan in Alabama (AL PEEHIP) and other assigned clients. They will leverage a broad understanding of managed care, Pharmacy Benefits and Clinical Products to implement strategies to drive trend and improve health outcomes. The Clinical Pharmacy Lead will deliver quarterly/annual account reviews of pharmacy financial information, utilization metrics and quality performance. This is a Work At Home (WAH) position that will require travel to meet with assigned clients. Responsibilities + Subject matter expert, supporting internal partners (Humana Pharmacy Solutions, Group Medicare Sales and Account Management team) and external partners (Employer Groups). + Providing full service account management for the Humana Senior Products Medicare division for all pharmacy-related needs + Providing financial and utilization analysis related to pharmacy trends and collaborating with Group Medicare leadership on managing and understanding drivers of pharmacy utilization and spend. + Providing expertise for annual pharmacy benefit planning and readiness activities + Work with internal stakeholders to define appropriate messaging, strategy, and data analysis for internal Group Medicare team and external clients + Provide expertise and support to internal Group Medicare team and external clients related to pharmacy quality measures + Support meaningful adoption of pharmacy /clinical products with in Group Medicare; influencing clients to use our products and/or optimize the performance of the product + Identify clinical needs and pharmacy product opportunities within Group Medicare and communicate them to Clinical Product Organization (CPO) Leadership team + Collaborate with product leaders to provide input to pharmacy product development based on client feedback Required Qualifications + Active Pharmacy license, and in good standing + PharmD degree or Bachelor of Science degree in Pharmacy from a college accredited by the American Council on Pharmaceutical Education (ACPE). + Currently resides in AL, GA or TN + Member of the Alabama Pharmacists Association (APA); represent Humana at Association meetings and requested forums, act as Account Manager with APA by sharing information on Humana Clinical and Pharmacy products and policies + Minimum three (3) years of PBM experience + Minimum three (3) years of experience in Group Medicare or Commercial Account Management + Knowledge of pharmacy practice and the cost drivers of pharmacy + Familiarity with Pharmacy utilization, spend and trend financials + Successful track record in facilitating and consulting across teams and managing projects + Ability to work independently under general instructions and with a team + Ability to develop cross functional relationships across multiple operational departments + Excellent communication skills, both oral and written + Proficiency in Microsoft Applications including Word, Excel, & Power Point Preferred Qualifications + Advanced Microsoft Excel skills + Proficiency with Microsoft Access & Microsoft Project + Experience with pharmacy benefits and health benefits management Additional Information + Travel is required depending on state of residence Scheduled Weekly Hours 40 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 thats 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. <>

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Jobs Rated Reports for Pharmacist

Posted: 2020-02-10 Expires: 2020-03-11

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Clinical Pharmacy Lead (Group Medicare)

Humana
Ridgeland, MS 39157

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Pharmacist
33rd2018 - Pharmacist
Overall Rating: 33/220
Median Salary: $124,170

Work Environment
Good
59/220
Stress
Very Low
43/220
Growth
Poor
168/220
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