Director of Internal Pharmacy Forecasting and Performance Analytics

Employment Type: Full-time Location Type: Remote (Occasional travel to Humana's offices for training or meetings may be required) Scheduled Weekly Hours: 40 Pay Range: $172,200 - $236,900 per year (This job is eligible for a bonus incentive plan.)

Position Overview

Become a part of our caring community and help us put health first. We are seeking an experienced and strategic leader to fill the position of Director of Internal Pharmacy Forecasting and Performance Analytics. This role will lead a dynamic team comprised of five direct reports and 1-2 indirect reports. The Director will play a key role in driving business decisions and growing our pharmacy business. This leader will need a deep understanding of the complexities of Medicare Part D benefit design and regulatory changes to develop and inform top business leaders on growth strategies for our business. This role will require strong technical and modeling skills to forecast pharmacy volume, inform mail order utilization expectations for CMS bid, and understand utilization and market share trend drivers.

Key Responsibilities

• Lead efforts to forecast pharmacy volume and establish pharmacy budgets through deep knowledge of pharmacy trends, taking into account regulatory changes in the Medicare Part D space.
• Work with the actuarial team to understand the impact of benefit design changes on pharmacy utilization to inform the CMS Bid.
• Develop strategies to optimize the pharmacy business and influence the decision-making of top leaders across our company.
• Provide analytical insights through financial modeling and forecasting prescription utilization trends.
• Monitor growth and refill volumes against forecasted expectations, identifying variances from budgeted expectations and exploring potential drivers.
• Consult on and build executive-level dashboards focusing on metrics such as prescription retention, growth attainment, overall market share, and abandonment rates.
• Work collaboratively with cross-functional teams, including marketing, actuarial, and finance.
• Develop and lead a team of both direct and indirect reports, fostering a culture of performance and collaboration.

Key Candidate Qualifications

• A minimum of 8 years of analytics experience in the healthcare industry, ideally with extensive experience in pharmacy business and data.
• At least 5 years of management experience, demonstrating the ability to lead and retain a team of high performers.
• Expertise in forecasting and scenario modeling methodologies.
• Proven experience in strategy development and enablement, preferably within the pharmacy or healthcare industry.
• Excellent analytical, problem-solving, consultative, and communication skills.
• Advanced degree (Master's preferred) in a relevant field.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Strong analytical mindset with the ability to translate complex analytical results into actionable insights for business strategies.
• Proven experience in collaborating with cross-functional teams, including finance and operations.
• Visionary: Embraces the big picture and translates it into strategy; anticipates longer-term business needs and prepares the team to take on challenges.
• Effective Influencer: Persuasive - effectively communicates trade-offs of business decisions and can sway an audience towards a course of action, inclusive of external audiences and sharing business rationale.
• Talent Mindset: Integrates organization effectiveness, winning culture, and human capital.
• Emotional Intelligence.
• Presence: Comfortable with senior leaders and other functional areas.

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