Lead Director, Strategic Planning & Execution
CVS HealthSalary not specified
- Full Time
- Expert & Leadership (9+ years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Pharmaceuticals, Managed CareIndustries
Requirements
Candidates must possess a pharmacy degree from an accredited school of pharmacy, maintain an active Pharmacist license with the Board of Pharmacy, and complete clinical reviews. Clinical experience in managed care or a related field is preferred, along with BPS Board Certification (BCOP preferred). Six Sigma and/or Project Management Professional certification are also desired.
Responsibilities
The Senior Clinical Pharmacist will monitor the drug development pipeline and medical literature, providing clinical support to internal stakeholders. They will develop, maintain, and operationalize strategies related to utilization management edits and clinical coverage policies, influencing departmental strategy. This role involves participating in Humana’s formulary and Pharmacy and Therapeutics processes, conducting analysis on drug utilization trends, and supporting trend management through cost and utilization analysis. Additionally, they will collaborate on research projects, develop corporate communications, and serve as a clinical subject matter expert, exercising considerable latitude in determining objectives and approaches to assignments.
Skills
Drug Development
Medical Literature Review
Managed Care
PBM Knowledge
Utilization Management
Formulary Strategy
Pharmacy and Therapeutics
Clinical Coverage Policies
Healthcare Strategy
Problem Solving
Strategic Planning
Stakeholder Engagement
Process Improvement
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