Formulary Strategy Pharmacist Lead

About the Role

Employment Type: Full time

Become a part of our caring community and help us put health first. The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes.

The Formulary Strategy Pharmacist Lead's work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Key Responsibilities

• Use clinical and financial data driven methods to develop and influence formulary strategies for Humana's Medicare line of business.
• Utilize broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support the development of formulary strategies to mitigate Humana’s costs and trend while improving our member’s health outcomes and costs.
• Help facilitate and provide transparency to informed formulary decisions made consistent with our formulary guiding principles and enterprise objectives.
• Translate information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies.
• Work across multiple departments to support formulary strategy development and decisions.
• Work with appropriate business partners to ensure accurate and timely implementation of formulary decisions.
• Leverage market trends and competitive intel insights to support the development of formulary strategies.
• Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Exercise considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact.

Required Qualifications

• Pharmacy Degree from an accredited School of Pharmacy
• 3+ years of clinical experience in managed care or other pharmacy related field
• Experience in Formulary strategy/development and CMS Part D guidance
• Experience in analysis and problem-solving
• Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership
• Flexible, dynamic personality who works well in a team environment and has expertise in working collaboratively and communicating with staff in different positions and all levels of management positions.
• Ability to prioritize, organizes, and executes effective time management
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
• Ability to work in either a team or an individual capacity to achieve goals and meet deadlines
• 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
• Proficiency in Microsoft Word, Excel, & PowerPoint

Preferred Qualifications

• MBA
• BPS Board Certification (any BPS certification)
• Pharmacy practice residency or similar pharmacy practice experience
• Experience in finance and/or business-related pharmacy practice

Travel

• While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Compensation

Scheduled Weekly Hours: 40 Pay Range: $126,300 - $173,700 per year

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.

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

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 wellne