Medicare Formulary Strategy Pharmacist Lead

Pharmacology Strategy Pharmacist Lead

The Pharmacology Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes. The Pharmacology Strategy Pharmacist Lead work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Pharmacology Strategy Pharmacist Lead uses clinical and financial data driven methods to develop and influence formulary strategies for Humana's Medicare line of business.

• Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support the development of formulary strategies to mitigate Humana's costs and trend while improving our member's health outcomes and costs.
• Help facilitate and make informed formulary decisions consistent with our formulary guiding principles and enterprise objectives.
• Translates information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies.
• Works across multiple departments to support formulary strategy development and decisions.
• Works with appropriate business partners to ensure accurate and timely implementation of formulary decisions.
• Leverages market trends and competitive intel insights to support the development of formulary strategies.

Use your skills to make an impact

Required Qualifications:

• Pharmacy Degree from an accredited School of Pharmacy
• Minimum of 3+ years of experience in managed care, health plan pharmacy, PBM, or related pharmacy environment
• Demonstrated knowledge of Medicare Part D (formularies, benefit design, regulatory considerations)
• Strong analytical and problem-solving skills, with the ability to evaluate complex data and make sound, timely decisions
• Demonstrated ability to synthesize detailed data into actionable insights while maintaining a clear understanding of broader strategic objectives
• Proven ability to communicate effectively across audiences, including developing and delivering presentations to senior/executive leadership
• Excellent written and verbal communication skills, with the ability to clearly articulate formulary strategy and rationale
• Strong collaboration skills, with a track record of influencing and consulting across cross-functional teams
• Demonstrated project management capabilities, including prioritization, organization, and execution in a fast-paced environment
• Self-motivated and adaptable, with the ability to work independently and within a team to meet deadlines and achieve goals
• Advanced proficiency in Microsoft Excel and PowerPoint, including the ability to analyze large datasets and translate findings into clear, actionable presentations

Preferred Qualifications:

• MBA or other advanced business-related degree
• BPS Board Certification
• Completion of a pharmacy residency or equivalent advanced practice experience
• Direct experience with formulary development, strategy, or management in a health plan or PBM setting

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 $138,900 - $191,000 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 About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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