Lead Director, Strategic Planning & Execution
CVS HealthSalary not specified
- Full Time
- Expert & Leadership (9+ years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Pharmaceuticals, Managed CareIndustries
Requirements
Candidates are required to possess a Pharmacy Degree from an accredited School of Pharmacy, along with at least 3+ years of clinical experience in managed care or a related pharmacy field. They must demonstrate excellent oral and written communication skills, including experience presenting to senior leadership, and possess the ability to prioritize, organize, and execute effective time management. Furthermore, candidates should have experience building out new processes and developing infrastructure for new processes, and the ability to assimilate, analyze, draw conclusions, and make recommendations from complex data.
Responsibilities
The Medicaid Drug Strategy Lead will utilize broad understanding of pharmacy, managed care, PBM, market, and regulatory insights to develop and/or implement drug strategies, mitigating cost trend and improving health outcomes within the Medicaid lines of business. They will translate information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on drug strategies, facilitate and provide transparency to informed formulary and medical drug decisions, and work across multiple departments to support formulary and medical drug strategy development and decisions. Additionally, the Lead will leverage market trends and competitive intel insights to support strategy development, make decisions on moderately complex to complex issues regarding technical approach, and work with business partners to ensure accurate and timely implementation and maintenance of Humana-driven Medicaid drug strategy decisions.
Skills
Pharmacy
Managed Care
PBM
Market Insights
Regulatory Knowledge
Data Analysis
Formulary Development
Medical Drug Strategies
Financial Data
Communication
Cross-Department Collaboration
Market Trends
Competitive Intelligence
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees