Description
**Description**
**Responsibilities**
The Clinical Formulary Strategy Pharmacist monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. 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 Formulary Strategy Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
**Responsibilities**
The Clinical Formulary Strategy Pharmacist develops, maintains, and/or operationalizes formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. This individual influences the department's strategy.
+ Participate in Humana's formulary and Pharmacy and Therapeutics processes
+ Complete clinical reviews, policy development and recommend drug coverage and potential drug utilization tools to mitigate Humana's cost and trend while improving our member's health and costs
+ Serve as a clinical subject matter expert and provide clinical support across Humana
+ Conducts analysis on drug utilization trends to evaluate and inform formulary strategies.
+ Collaborates on research projects and develops proposals for research projects.
+ Develops corporate communications to be shared with senior leadership.
+ Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
+ Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
**Key Competencies**
+ Acts Strategically: Has vision, anticipates future consequences and trends accurately; has broad knowledge and perspective; creates competitive and breakthrough strategies and plans.
+ Builds Trust: You honor your word by doing what you say you are going to do.
+ Drives for Excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
+ Innovates - Introduces or develops new ideas and processes which improve performance or productivity.
+ Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools.
+ Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.
Role Qualifications
+ Degree of Doctor of Pharmacy
+ Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state
+ Must have Board Certification
+ Clinical experience in managed care or other pharmacy related field
+ Experience in analysis and problem-solving
+ Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership
+ Flexible, dynamic personality who works well in a team environment and is also an individual contributor
+ Ability to prioritize, organizes, and executes effective time management
+ Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
+ Ability to work in either a team or an individual capacity to achieve goals and meet deadlines
Preferred Qualifications
+ Board Certified Pharmacotherapy Specialist
+ Pharmacoeconomics and Health Outcomes training
+ Pharmacy practice residency or similar pharmacy practice experience
+ Knowledge of Medicare as it relates to pharmacy
+ Six Sigma and/or Project Management Professional certification
**Additional Information**
**Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M**
**Vaccination Info**
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
+ Provide proof of full vaccination or commit to testing protocols **OR **
+ Provide proof of applicable exemption including any required supporting documentation
+ Medical, religious, state and remote-only work exemptions are available.
**Scheduled Weekly Hours**
40
