Associate Director - Clinical Pharmacy Provider Engagement

Become a part of our caring community and help us put health first
 

The Clinical Pharmacy Provider Engagement Associate Director, HPS Clinical Program Strategy, partners with Medicare Leadership to generate pharmacy value for Humana health plans by creating advocacy through key Provider Groups.

This role will lead a team of Clinical Pharmacists who work in market to develop and grow positive, long-term relationships with physicians, providers and healthcare systems to support and improve pharmacy performance. This role requires an in-depth understanding of how organization capabilities interrelate across the PBM, Medicare segment, and provider organizations. The effective candidate must have the ability to navigate between competing priorities of different business segments to create shared goals that are mutually beneficial across stakeholders.

Responsibilities

• Develop go to market strategies and identify new opportunities to further PBM goals around quality, Stars, pharmacy trend, and CenterWell Pharmacy utilization
• Lead a team of pharmacists that act as a provider engagement extension of Humana’s suite of pharmacy clinical programs
• Define measurable KPIs and continuously monitor for areas of improvement and opportunity
• Act as a clinical pharmacy thought leader among Humana’s network of providers and be an agent of change through identification of opportunities to further shared clinical goals

Use your skills to make an impact
 

Required Qualifications

• Three years of leadership experience
• Five years clinical experience in managed care or equivalent experience
• Registered pharmacist with license in good standing; Degree of Doctor of Pharmacy or equivalent
• Prior provider engagement or account management experience  
• Deep business and financial acumen
• Strong track record of driving solutions that achieved clinical and financial outcomes
• Experience with effectively coaching, developing and leading direct reports and cross-functional teams
• Complex and innovative problem-solving, analytical, critical and strategic thinking capabilities; knows how to create options and then converge on solutions
• Brings an organized, attention-to-detail approach (strong tactical execution)
• Exceptional cross-functional collaboration, relationship management, influencing, and interpersonal skills
• Impeccable oral and written communication skills, as well as the polish, poise, and executive presence to effectively interact with and present to external partners and executive and senior-level stakeholders
• Very disciplined; has the ability to manage competing priorities and operate effectively within a large and complex organizational structure

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$150,000 - $206,300 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 02-11-2025

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.