Medicare Formulary Strategy Pharmacist Lead

at Humana in Boise, Idaho, United States

Become a part of our caring community

The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM , market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes. The Formulary Strategy Pharmacist Lead work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Formulary Strategy Pharmacist Lead uses clinical and financial data driven methods to develop and influence formulary strategies for Humanas Medicare line of business.

+ Utilizes broad understanding of pharmacy, managed care, PBM , market and regulatory insights to support the development of formulary strategies to mitigate Humanas costs and trend while improving our members health outcomes and costs.

+ Help facilitate and make informed formulary decisions consistent with our formulary guiding principles and enterprise objectives.

+ Translates information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies.

+ Works across multiple departments to support formulary strategy development and decisions.

+ Works with appropriate business partners to ensure accurate and timely implementation of formulary decisions.

+ Leverages market trends and competitive intel insights to support the development of formulary strategies.

Use your skills to make an impact

Required Qualifications:

+ Pharmacy Degree from an accredited School of Pharmacy

+ Minimum of 3+ years of experience in managed care, health plan pharmacy, PBM , or related pharmacy environment

+ Demonstrated knowledge of Medicare Part D (formularies, benefit design, regulatory considerations)

+ Strong analytical and problem-solving skills, with the ability to evaluate complex data and make sound, timely decisions

+ Demonstrated ability to synthesize detailed data into actionable insights while maintaining a clear understanding of broader strategic objectives

+ Proven ability to communicate effectively across audiences, including developing and delivering presentations to senior/executive leadership

+ Excellent written and verbal communication skills, with the ability to clearly articulate formulary strategy and rationale

+ Strong collaboration skills, with a track record of influencing and consulting across cross-functional te