Senior Pharmacy Clinical Advisor
About The Position
The Senior Pharmacy Clinical Advisor advises and collaborates with cross functional leaders with goals of combining clinical pharmacy acumen with holistic desired health outcomes. The Senior Pharmacy Clinical Advisor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Clinical Advisor will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Senior Pharmacy Clinical Advisor will develop, implement, and manage clinical program strategies to improve Medicare members' appropriate medication use with specific focus on provider and member engagement solutions delivered through multiple channels. The Senior Pharmacy Clinical Advisor exercises independent judgment and decision making on complex issues regarding job duties and related tasks, analyzes variable factors to determine the best course of action, and works across multiple departments to execute strategies. The Senior Pharmacy Clinical Advisor influences department’s strategy and performs without direction.
Requirements
- Bachelor's degree or equivalent
- 5+ years of healthcare or project management 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 PowerPoint
- Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Nice To Haves
- Master's Degree in Business Administration, Health Administration or a related field
- Prior managed care experience
- Understanding of metrics, trends, and the ability to analyze and identify gaps in care
- Proven organizational and prioritization skills and ability to collaborate with multiple departments
- Understanding of CMS Stars and performance measure knowledge and experience
- Background working in quality improvements
Responsibilities
- Develop, implement, and manage clinical program strategies to improve Medicare members' appropriate medication use with specific focus on provider and member engagement solutions delivered through multiple channels.
- Advise and collaborate with cross-functional leaders to combine clinical pharmacy acumen with holistic desired health outcomes.
- Analyze situations or data requiring in-depth evaluation of variable factors for moderately complex to complex issues.
- Be part of a collaborative Pharmacy Stars team accountable for Humana’s Stars patient safety measure performance.
- Exercise independent judgment and decision-making on complex issues regarding job duties and related tasks.
- Analyze variable factors to determine the best course of action.
- Work across multiple departments to execute strategies.
- Influence department’s strategy and perform without direction.
Benefits
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- Short-term disability
- Long-term disability
- Life insurance
- Bi-weekly payment for internet expense (for residents of California, Illinois, Montana, or South Dakota)
- Telephone equipment provided
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What This Job Offers
Job Type
Full-time
Career Level
Senior
