Senior Oncology Clinical Pharmacist

CenterWell

22h • $126,300 - $173,700 • Remote

About The Position

The Clinical Drug Evaluation and Policy Strategies Senior Clinical 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. The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist develops, maintains, and/or operationalizes strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered drug products. This individual influences the department’s strategy. Participate in Humana’s formulary and Pharmacy and Therapeutics processes. 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.

Requirements

• Pharmacy degree from an accredited school of pharmacy.
• Active Pharmacist license with the Board of Pharmacy in the appropriate state.
• Clinical experience in managed care or other pharmacy related field.
• Less than 10% travel requirement including visit(s) to home office in Louisville, KY.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Nice To Haves

• BPS Board Certification (any BPS certification; BCOP Preferred).
• 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.

Responsibilities

• Monitors drug development pipeline and medical literature.
• Provides clinical support for internal stakeholders.
• Develops and/or implements strategies and programs to mitigate cost trend and improve health outcomes.
• Develops, maintains, and/or operationalizes strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered drug products.
• Participates in Humana’s formulary and Pharmacy and Therapeutics processes.
• Completes clinical reviews, policy development, and operations related to policy work.
• Recommends drug coverage and potential drug utilization tools to mitigate Humana’s cost and trend while improving our member’s health and costs.
• Serves as a clinical subject matter expert and provides 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.

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior