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Director, Clinical Pharmacy

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

The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the team responsible for the process that forecasts $8 Billion in drug spend included in the pharmaceutical pipeline forecast. They also would be responsible for the monitoring of older (non-pipeline) agents for potential market events that would drive unanticipated changes in cost and utilization. The team also leads our trend detection process, responsible for identifying changes in actual vs expected spend, and working with key stakeholders enterprise-wide to identify potential trend benders

Responsibilities

  • Lead our medical and pharmacy drug trend and pipeline forecasting process including month over month, quarter over quarter and year over year trend review and ad hoc as needed
  • Proactively monitors relevant publicly available news/developments in the pharmaceutical sector to direct relevant drug pipeline investigations, expanded indications, and other key market events
  • Develop corporate communications of high quality to be shared with senior leadership such as drug pipeline updates and market event notifications
  • Partners with clinical and business professionals, actuaries and operations in a team environment
  • Proactively highlights key drug trend opportunities leveraging insights, market trends, industry feedback to meet key objectives and leverages information to devise new or improved product offerings
  • Participates in Humana Pharmacy committees as appropriate
  • Invest in the development of associates, and the growth of the team


Use your skills to make an impact
 

Required Qualifications

  • Pharmacy degree from an accredited school of pharmacy
  • Clear and active Pharmacist license in the state(s) in which you are required to practice
  • Eight (8) years of clinical experience in managed care or equivalent experience
  • Five (5) years’ experience in effectively leading direct reports and cross-functional teams
  • Three (3) years of experience drug pipeline or trend analysis and forecasting
  • Strong track record of driving solutions that achieved clinical and financial outcomes
  • 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
  • Ability to engage, educate, influence and guide matrixed teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications
  • Ability to influence and build relationships with people across all levels and organizations internally and externally

Additional Information:

Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule

Work at Home requirements:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

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.


 

$168,000 - $231,000 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: 04-03-2025


About us
 

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.


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.

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Jim Rechtin
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Average salary estimate

$199500 / YEARLY (est.)
min
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$168000K
$231000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About Director, Clinical Pharmacy, Humana

At Humana, we’re on a mission to put health first, and we want you to be a part of it as our new Director of Clinical Pharmacy! In this exciting remote role, you’ll lead the Forecasting team, guiding essential processes related to the $8 billion drug spend within our pharmaceutical pipeline. You’ll play a pivotal role in monitoring older agents for potential market events that could cause unexpected fluctuations in cost and usage. Collaborating with clinical and business experts, actuaries, and operations professionals, you’ll analyze drug trend data to identify opportunities for improvement. Your insight will drive high-quality corporate communications shared with senior leadership, ensuring they stay informed with timely updates and market notifications. Your leadership will help our team excel, and your commitment to professional growth will strengthen our community of dedicated associates. If you have a pharmacy degree and significant clinical experience in managed care, this is a chance to make a lasting impact on healthcare delivery for patients nationwide!

Frequently Asked Questions (FAQs) for Director, Clinical Pharmacy Role at Humana
What are the main responsibilities of the Director of Clinical Pharmacy at Humana?

The Director of Clinical Pharmacy at Humana is responsible for leading the drug trend and pipeline forecasting process, monitoring market events that could affect drug utilization and spend, and communicating vital updates to senior leadership. This role involves collaboration with various stakeholders to ensure that financial and clinical outcomes are met while also investing in the development and growth of the pharmacy team.

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What qualifications do I need to apply for the Director of Clinical Pharmacy at Humana?

To qualify for the Director of Clinical Pharmacy role at Humana, candidates must possess a pharmacy degree from an accredited pharmacy school and maintain an active pharmacist license. Additionally, candidates should have at least eight years of clinical experience in managed care and a proven track record of leading teams and performing drug pipeline analysis.

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How does Humana support the professional growth of the Director of Clinical Pharmacy?

Humana is committed to the professional growth of its employees, particularly those in leadership roles like the Director of Clinical Pharmacy. The company offers various development programs, flexible scheduling options, and opportunities for clinical certifications. These initiatives are designed to empower you to make a significant impact and grow within the organization.

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What skills are necessary for success as a Director of Clinical Pharmacy at Humana?

Success as a Director of Clinical Pharmacy at Humana requires exceptional collaboration and relationship management skills, along with strong influencing capabilities. Effective communication—both oral and written—is crucial, especially when liaising with executive stakeholders. Additionally, an ability to manage competing priorities in a complex organizational structure and a strong analytical mindset to track and optimize drug trends are essential.

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What does the work environment look like for the Director of Clinical Pharmacy?

The work environment for the Director of Clinical Pharmacy at Humana is remote, allowing for flexible work arrangements nationwide. Humana fosters a supportive culture that values the contributions of each employee, which includes maintaining a dedicated workspace free from interruptions to protect sensitive patient information.

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Common Interview Questions for Director, Clinical Pharmacy
Can you describe your experience with drug pipeline forecasting?

In answering this question, you should highlight your previous roles where you were directly involved in pipeline forecasting. Discuss specific methodologies you used, any innovative techniques you implemented, and the outcomes of your analyses. Providing quantifiable results will make your experience stand out, emphasizing how you added value.

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What strategies do you employ to monitor drug trends effectively?

Your response should focus on both qualitative and quantitative strategies. Mention how you analyze market data, stay updated on industry news, and collaborate with other departments to capture insights. It’s essential to demonstrate your proactive approach and ability to adapt to ever-changing market conditions.

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How do you ensure effective communication with senior leadership?

Explain your approach to creating clear and concise communications. You might describe a process you follow for crafting reports or presentations, ensuring key information is highlighted. Emphasize the importance of understanding the audience and tailoring your message to their interests and needs.

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Describe a time when you led a cross-functional team.

In your response, share a specific project or initiative where you had to lead a diverse team. Highlight your leadership style, how you encouraged collaboration, and any challenges faced during the process. Focus on the successful outcomes of the project as a result of your leadership.

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What tools do you use for data analysis in pharmacy management?

Discuss specific tools and software you are proficient in, such as statistical analysis programs, data visualization tools, or pharmacy management systems. Providing examples of how you've effectively utilized these tools in your previous roles will demonstrate your technical expertise.

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How do you prioritize tasks in a complex organizational structure?

Talk about your decision-making process, citing methods or frameworks you use to assess urgency and importance. Mention any specific examples where your prioritization had a positive impact on project outcomes, demonstrating your organizational skills.

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Can you provide an example of a successful product offering you contributed to?

Select a specific product or service that you played a key role in developing or improving. Outline your contributions and the strategies you used to identify market needs. Discuss the results and how the product was received by the end-users or stakeholders.

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How do you stay current with trends in pharmaceutical care?

Discuss your commitment to continuous learning. Mention professional organizations you belong to, conferences you attend, or relevant publications you read to stay informed. This will convey your proactive approach to professional growth and industry engagement.

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How would you handle conflict within your team?

Your answer should reflect your conflict resolution skills. Describe a specific situation in which you mediated a conflict, the steps you took to facilitate communication, and the resolution achieved. Highlight your focus on maintaining a positive team dynamic and achieving common goals.

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What do you believe is the most significant challenge facing clinical pharmacy today?

This is an opportunity to demonstrate your knowledge of industry trends. Discuss major challenges such as rising drug costs, the importance of medication adherence, or access to care. Offer your insight on how you would address these challenges as the Director of Clinical Pharmacy.

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Since 1961, Humana has been committed to helping people live healthy and happy. Our approach is simple—offer personalized care from people who care. We do this by listening to our members and creating solutions to help them reach the best version ...

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Full-time, remote
DATE POSTED
March 30, 2025

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