Connecting Odds
Humana

Clinical Pharmacist Lead

Humana
Remote NationwidePosted Discovered via the company's careers siteMatch locked
RemoteFull time

About the role

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As the Clinical Pharmacy Lead you will monitor drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilize broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to reduce cost trend and improve health outcomes. As a Clinical Pharmacy Lead you will work on problems of diverse scope and complexity ranging from moderate to substantial. You will report to a leader and be a part of the HPS Clinical Program Strategy team.

You will:

  • Develop, and operationalize formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products.
  • Conduct analysis on drug use trends to evaluate and inform formulary strategies.
  • Collaborate on research projects and develop proposals for research projects.
  • Develop corporate communications to be shared with senior leadership.
  • Support trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
  • Advise executives to develop functional strategies (often segment specific) on matters of significance.
  • Exercise independent judgment and decision making on complex issues regarding job responsibilities and related tasks, and works under minimal supervision, use 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
  • Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions

What Makes You Stand Out Amongst the Rest

  • Pharm D
  • Master's Degree in Business Administration or a related field
  • Experience with Microsoft Access & Microsoft Project
  • Experience with pharmacy benefits and health benefits

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

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 will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $138,900 - $191,000 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-05-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.

Not included in the source posting: about the role.

Skills

rest-api

Who can apply

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