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Senior Clinical Pharmacist - Medicaid Pipeline
Senior Clinical Pharmacist - Medicaid Pipeline-April 2024
Flexible / Remote
Apr 22, 2025
ABOUT HUMANA
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized whole-person healthcare experiences.
10,000+ employees
Healthcare
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About Senior Clinical Pharmacist - Medicaid Pipeline

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

  

  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 support our drug pipeline forecasting team, working directly with financial analysts and clinical pharmacy leads as we inform Humana on the impact of new drug launches. This individual will focus on the pharmaceutical pipeline agents most likely to have impact on Humana's Medicaid membership.

  Responsibilities

  Contributes to our pipeline drug process, monitoring drugs in development and new drug approvals, as well as modeling financial impact of emerging therapeutics, with a Medicaid focusResearches and analyzes drugs and emerging therapeutics, including financial forecasts on the web and works with analysts to inform an internal financial forecast for the companyContinuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insightsContribute to corporate communications of high quality to be shared with senior leadership such as pipeline updates and market event notificationsPartners with pharmacists, data scientists, financial analysts in a team environmentContributes to Humana formulary strategy as it relates to pipeline productsContributes to the creation of pipeline communications to be shared at varying levels within the company, such as, presentations, emails, weekly/monthly pipeline updates and executive summaries.

  Competencies

  Self-directedAccountable to financial goalsStrong clinical research skillsStrong critical thinking skillsDemonstrates initiative and the ability to multi-task and prioritize assignmentsAble to produce clear, concise process documentationExcellent verbal and written communication skillsStrong organizational skillsPositive and proactiveAbility to assimilate, analyze, draw conclusions, and make recommendations from complex dataFlexible, dynamic personality who works well in a team environment and is also an individual contributorWorking knowledge of MS excel, MS PowerPoint required

  Qualifications

  Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of PharmacyActive, unrestricted pharmacy licensure

  Role Desirables

  Board Certified Pharmacotherapy Specialist (BCPS)MBA, pharmacoeconomics or health outcomes trainingAn understanding of financial analysis and equity research a plus OR willingness and interest to learnPrevious experience in trend analysisThree years' experience in pharmacy benefits management and MedicaidUnderstands managed care and is capable of generating insights into the business

  

  Use your skills to make an impact

  

  Required Qualifications

  Bachelor's degreeMust have an active Pharmacist license with the Board of Pharmacy in the appropriate stateMust be passionate about contributing to an organization focused on continuously improving consumer experiences

  Preferred Qualifications

  PharmD

  Health Plan experienceKnowledge of Medicare as it relates to pharmacySix Sigma and/or Project Management Professional certificationPharmacy practice residency or similar pharmacy practice experience

  Additional Information

  linkedin-remote

  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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

  $112,400 - $154,900 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.

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