Senior Clinical Pharmacist - Trend Detection

Become a part of our caring community Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that helps translate the clinical into financial to ensure Humana profitability. This individual will support our Clinical Trend Solutions team, working directly with financial analysts and clinical pharmacy leads as we inform Humana on the impact of emerging drug trends. This individual will focus on identifying and investigating the drug utilization and cost trends most likely to have impact on Humana's Medicaid plans. Responsibilities Contributes to Humana’s pharmacy trend detection process by conducting analysis of drug spend, utilization, and/or approval scenarios Researches and analyzes drugs and emerging therapeutics, including financial forecasts on the web and works with analysts to inform an internal financial forecast for the company Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights Contribute to corporate communications of high quality to be shared with senior leadership such as trend analysis and market event notifications Partners with pharmacists, data scientists, financial analysts in a team environment Contributes to developing Humana formulary strategy to mitigate cost trend and improve health outcomes Contributes to the creation of trend communications to be shared at varying levels within the company, such as presentations, emails, and executive summaries Competencies Self-directed Accountable to financial goals Strong clinical research skills Strong critical thinking skills Demonstrates initiative and the ability to multi‑task and prioritize assignments Able to produce clear, concise process documentation Excellent verbal and written communication skills Strong organizational skills Positive and proactive Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data Flexible, dynamic personality who works well in a team environment and is also an individual contributor Working knowledge of MS Excel, MS PowerPoint required Required Qualifications Bachelor's degree Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications PharmD Health Plan experience Knowledge of Medicare/Medicaid as it relates to pharmacy Six Sigma and/or Project Management Professional certification Pharmacy practice residency or similar pharmacy practice experience Board Certified Pharmacotherapy Specialist (BCPS) MBA, pharmacoeconomics or health outcomes training Previous experience in trend analysis Three years’ experience in pharmacy benefits management and Medicare/Medicaid Understands managed care and is capable of generating insights into the business Work at Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self‑provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range $126,300 – $173,700 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. 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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 #J-18808-Ljbffr