7 days old

Clinical Pharmacy Lead Specialty Programs, Site of Care

Humana
Louisville, KY 40207
  • Jobs Rated
    33rd
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 lead our site of care specialty program. A program that works to shift utilization of medically-billed, specialty drugs to lower-cost, clinically appropriate sites of care, and optimize the member benefit. Responsibilities 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 lead our site of care specialty program. A program that works to shift utilization of medically-billed, specialty drugs to lower-cost, clinically appropriate sites of care, and optimize the member benefit. Responsibilities include the following: + Own our site of care specialty program, driving the strategic vision and growth of the program. + Oversee and lead the site of care 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 infusible drugs and site of care opportunity to inform future infusion strategy. + Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights, related to site of care opportunity + Utilizes broad understanding of managed care, medical billing and clinical program development to drive efficiencies in the program, and growth of the strategy + Collaborate with pharmacists, business professionals and actuaries in a team environment, specifically collaborating closing with our pharmacy analytics team, the Director of Infusion Strategy, the Clinical Pharmacy Lead for Medical Trend and Clinical Program Operations. + Present confidently to senior leadership on key metrics including site of care strategy and program performance + Work holistically with our operational partners to execute the site of care strategy and continuously improve the process + Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results 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 + 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 + 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 + Working knowledge of MS excel, MS PowerPoint required Preferred Qualifications + Board Certified Pharmacotherapy Specialist (BCPS) + MBA, pharmacoeconomics or health outcomes training + Six Sigma, Lean (or other quality program) background + Previous experience in trend analysis + Previous experience in medical claims analysis + Previous experience in clinical program development and leadership 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: 2020-03-23 Expires: 2020-04-22

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Clinical Pharmacy Lead Specialty Programs, Site of Care

Humana
Louisville, KY 40207

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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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