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Clinical Pharmacist Lead



This job is no longer accepting applications

See open jobs at Humana.
Posted on Wednesday, February 7, 2024

Become a part of our caring community and help us put health first

The Clinical Pharmacy Lead 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 Clinical Pharmacy Lead works on problems of diverse scope and complexity ranging from moderate to substantial. This specific position will serve as a Subject Matter Expert for Medical Drug Strategies and will be responsible for identifying opportunities to combat increased spend on medical drugs used in Medicare and Medicaid populations. A prime candidate for this position is a pharmacist who is curious, interested in data analytics, and is skilled in managing complex and nuanced clinical strategies and processes.

The Clinical Pharmacy Lead develops, maintains, and/or operationalizes formularies and preferred durg lists 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 by conducting analysis of drug spend, utilization, and/or approval scenarios. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree
  • Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state
  • Successful track record in facilitating and consulting across teams and managing projects
  • Thrives in a fast paced, multi-project work environment while still ensuring attention to detail
  • Excellent communication and presentation skills, both oral and written
  • Proficiency in Microsoft Word, Excel, & PowerPoint
  • Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions

Preferred Qualifications

  • Pharm D
  • Master's Degree in Business Administration or a related field
  • Clinical or Managed Care Residency Trained or experience
  • Experience with pharmacy benefits and health benefits
  • Experience with Medical drugs (e.g. inpatient and/or outpatient non-oral agents)

Scheduled Weekly Hours


Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$123,800 - $170,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

This job is no longer accepting applications

See open jobs at Humana.