Senior Clinical Pharmacist – Medicaid Pharmacy Trend Programs

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $126.3k - $173.7k / year

⏰ Full Time

🟠 Senior

💊 Pharmacist

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Execute and track clinical program strategies across Medicaid lines of business • Collaborate with Medicaid Customer Success, Trend Detection, Trend Management, Pharmacy Analytics and Consulting, Marketing, and Humana Clinical Pharmacy Review • Maintain clinical program target drug lists with the Clinical Formulary and Medical Strategies team • Track, analyze, and report program-specific key performance indicators • Develop and sustain relationships with external vendors and internal operations teams • Participate in clinical program innovation, including developing new initiatives and testing enhancements to existing programs • Collaborate cross-functionally to support program excellence, innovation, and continuous improvement

🎯 Requirements

• PharmD from an accredited institution • Active pharmacist license with the Board of Pharmacy in state of residence • Excellent communication and collaboration skills • Strong Microsoft Excel skills for tracking, analyzing, and creating insights from data sets • Ability to work collaboratively and communicate with staff in different positions and all levels of management • Dedicated work space without ongoing interruptions to protect member PHI/HIPAA information • Home internet service with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Managed Care Residency Training or 3 years working as a managed care pharmacist (preferred) • Board Certification (preferred) • Master's Degree in Business Administration or a related field (preferred) • Operations experience (preferred)

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Internet expense payment for employees who live and work from home in California, Illinois, Montana, or South Dakota • Telephone equipment provided for Home or Hybrid Home/Office employees • Remote work arrangement • Occasional travel to Humana offices for training or meetings