Senior Clinical Pharmacist – Trend Detection

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.

Requirements

• 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
• 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