Stars Clinical Pharmacist Lead - Humana
Miami, FL
About the Job
Become a part of our caring community and help us put health first
The Clinical Pharmacist Lead monitors drug development pipelines and medical literature while providing clinical support for internal stakeholders. This role utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
Location: This is a hybrid role that will require working from a Humana office 50% of the time. You must live within regular commuting distance of an office in Tampa, Orlando, or Miami, Florida.
This dedicated Part D Stars Pharmacist will be facilitating effective communication and collaboration with our business partners and providers as needed. This role would ensure that we can implement targeted interventions to address medication adherence and other Stars measures opportunities, ultimately leading to improve these measures. The Pharmacy Lead will strategically focus our provider intervention that require the most attention, leading to better members outcomes and enhanced collaboration with our business partners.
Key responsibilities would include:
+ Analyzing market-specific and plan-wide trends while collaborating directly with business partners
+ Tracking the impact of corporate initiatives at the market level to assess outcomes and provide valuable feedback to the Corporate STARS Pharmacy team.
+ Developing and implementing market-specific Part D strategies in response to anticipated PPO growth among non-risk providers.
+ Partnering with the HEDIS and Network professionals to create targeted strategies for providers, with a quarterly focus on improving medication adherence.
+ Facilitating provider education, offering metrics, addressing inquiries, and concentrating on the overall performance, trends, and opportunities within the Part D Stars market performance
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree in Pharmacy
+ A broad understanding of managed care and PBM knowledge
+ 2+ years experience with STARS (medication adherence or other HEDIS measures)
+ Must have an active Pharmacist license with the Board of Pharmacy in Florida
+ Successful track record in facilitating and consulting across teams and managing projects
+ Able to thrive in a fast paced, multi-project work environment while still ensuring attention to detail
+ Excellent communication skills, both oral and written
+ Proficiency in Microsoft Word, Excel, & PowerPoint
+ Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions
+ Willingness to work in-office 50% of the time
Preferred Qualifications
+ Pharm D
+ Master's Degree in Business Administration or a related field
+ Experience with Microsoft Access & Microsoft Project
+ Experience with pharmacy benefits and health benefits
Scheduled Weekly Hours
40
Pay Range
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.
$123,800 - $170,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of 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 wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Clinical Pharmacist Lead monitors drug development pipelines and medical literature while providing clinical support for internal stakeholders. This role utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
Location: This is a hybrid role that will require working from a Humana office 50% of the time. You must live within regular commuting distance of an office in Tampa, Orlando, or Miami, Florida.
This dedicated Part D Stars Pharmacist will be facilitating effective communication and collaboration with our business partners and providers as needed. This role would ensure that we can implement targeted interventions to address medication adherence and other Stars measures opportunities, ultimately leading to improve these measures. The Pharmacy Lead will strategically focus our provider intervention that require the most attention, leading to better members outcomes and enhanced collaboration with our business partners.
Key responsibilities would include:
+ Analyzing market-specific and plan-wide trends while collaborating directly with business partners
+ Tracking the impact of corporate initiatives at the market level to assess outcomes and provide valuable feedback to the Corporate STARS Pharmacy team.
+ Developing and implementing market-specific Part D strategies in response to anticipated PPO growth among non-risk providers.
+ Partnering with the HEDIS and Network professionals to create targeted strategies for providers, with a quarterly focus on improving medication adherence.
+ Facilitating provider education, offering metrics, addressing inquiries, and concentrating on the overall performance, trends, and opportunities within the Part D Stars market performance
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree in Pharmacy
+ A broad understanding of managed care and PBM knowledge
+ 2+ years experience with STARS (medication adherence or other HEDIS measures)
+ Must have an active Pharmacist license with the Board of Pharmacy in Florida
+ Successful track record in facilitating and consulting across teams and managing projects
+ Able to thrive in a fast paced, multi-project work environment while still ensuring attention to detail
+ Excellent communication skills, both oral and written
+ Proficiency in Microsoft Word, Excel, & PowerPoint
+ Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions
+ Willingness to work in-office 50% of the time
Preferred Qualifications
+ Pharm D
+ Master's Degree in Business Administration or a related field
+ Experience with Microsoft Access & Microsoft Project
+ Experience with pharmacy benefits and health benefits
Scheduled Weekly Hours
40
Pay Range
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.
$123,800 - $170,400 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of 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 wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana
