Lead Director, Strategic Planning & Execution
CVS HealthSalary not specified
- Full Time
- Expert & Leadership (9+ years)
Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed Care, PharmaceuticalsIndustries
Requirements
Candidates must possess a Bachelor’s degree in pharmacy or a Doctor of Pharmacy (PharmD), be an Illinois-licensed pharmacist, and have a minimum of ten plus years of Pharmacy Experience, with at least three years’ experience in managed care and/or PBM operations. They should have a successful track record in facilitating and consulting across teams and managing projects, thrive in a fast-paced environment, and demonstrate excellent communication skills, both oral and written, along with proficiency in Microsoft Word, Excel, and PowerPoint.
Responsibilities
The Pharmacy Director will plan, direct, and monitor all financial, operational, professional, and clinical activities for the pharmacy department within the FIDE-SNP Illinois Medicare - Medicaid health plan, ensuring compliance with legal and accreditation requirements. They will coordinate day-to-day pharmacy operations with the plan’s Chief Executive Officer and Chief Medical Officer, keep current with State and Federal regulations, develop corporate communications for senior leadership, support trend management through data analysis, advise executives on strategic matters, facilitate collaboration across teams, manage projects, and represent Humana at pharmacy Medicaid meetings, particularly with the Illinois Department of Healthcare and Family Services (HFS), while ensuring compliance with programmatic requirements such as claims processing, prior authorization, and formulary management.
Skills
Managed Care
Pharmacy Benefit Management (PBM)
Regulatory Compliance
Drug Spend Analysis
Healthcare Strategy
Operational Leadership
Clinical Support
Pharmacy Operations
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.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees