Senior Clinical Pharmacist

4 weeks ago


Washington, Washington, D.C., United States Humana Full time

At Humana, we're seeking a Senior Clinical Pharmacist to support our government program strategies and evaluate drug policies for clinically appropriate automation opportunities. This role involves collaborating with internal stakeholders to provide government program and clinical automation support, developing strategies for optimizing the utilization management process while prioritizing member health and safety.

Key Responsibilities:

  • Assess clinical reviews for appropriate automation opportunities and recommend drug utilization tools to mitigate costs and improve member access to care
  • Provide clinical automation strategy support across the organization
  • Analyze administrative costs and utilization trends to inform strategies
  • Collaborate on research projects and develop proposals for research projects
  • Develop corporate communications for senior leadership
  • Support administrative costs and drug trend management through analysis of drug spend, utilization, and approval scenarios

Qualifications:

  • Pharmacy degree and active Pharmacist license
  • Clinical experience in managed care or other pharmacy-related field
  • Experience with Medicare and Medicaid related to pharmacy is a plus
  • BPS Board Certification and/or Pharmacoeconomics and Health Outcomes training preferred
  • Proficiency in Project Management and Six Sigma is a plus

If you're passionate about contributing to a compassionate community that prioritizes patient well-being, we encourage you to apply for this position.



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