Senior Clinical Pharmacy Advisor - Trend

The Senior Clinical Pharmacy Advisor - Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high performing team that helps translate the clinical into financial. The goals is to help ensure Humana profitability while improving our member's health and costs. This role functions in a highly collaborative environment across multiple departments to drive results.

This individual will support ongoing trend efforts through the collection of market data and internal analysis, with a focus on generation of insights from the gathered information.

Responsibilities

Responsibilities include the following

• Provide clinical and analytical support in order to drive success of trend, utilization management, and generic dispensing rate initiatives
• Generate insight through deep understanding of business strategy, operations, and reporting infrastructure.
• Contribute to creation of top-quality presentations for senior leadership on a variety of topics including trend, generic dispensing, and utilization management.
• Continuously monitoring relevant publicly available news/developments in the pharmaceutical sector that would contribute to Humana's drug trend and spend
• Monitors generic and biosimilar pipeline, including patent expirations and new to market agents
• Partners with pharmacists, business professionals and actuaries in a team environment
• Supports pharmacy trend management by conducting and analyzing drug spend, utilization and market share analyses, updating and distributing presentations/reports, drafting communications, etc.
• Supports clinical research integration activities with internal research department
• Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results.

Competencies

• Clinical degree (e.g. Pharm.
• Self-directed
• Able to produce clear, concise documentation
• Strong organizational skills
• Positive and proactive
• Works well independently and within a team setting to achieve goals and meet deadlines
• Demonstrates initiative and the ability to multi-task and prioritize assignments
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
• Strong verbal and written communication skills
• Flexible, dynamic personality who works well in a team environment and is also an individual contributor
• Positive and proactive
• Problem-solving and project management skills
• Role Desirables
• Board Certified Pharmacotherapy Specialist (BCPS)
• MBA, pharmacoeconomics or health outcomes training
• Six Sigma, Lean (or other quality program) background
• Three years clinical experience in managed care or pharmacy related field
• Experience in managing the strategic planning cycle for a large organization with cross-functional engagement and prioritization
• Experience executing complex strategic and operational initiatives
• Previous experience in trend analysis

Required Qualifications

• Bachelor's degree or equivalent
• Based on the business need, may require an active Pharmacist license5 years of technical healthcare experience
• Strong analytical skills
• Skilled in using data to identify areas of concern and drive operational changes
• Successful track record in facilitating and consulting across teams and managing projects
• Demonstrated ability to implement projects/campaigns and achieve business goals
• Proficiency in Microsoft Word, Outlook, Excel and PowerPointMust be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Pharm DExperience with pharmacy benefits and health benefits
• Experience with
• Scheduled Weekly Hours40