**Description** Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana enterprise, HPS executive leaders as well as have extensive engagement representing Humana with external vendors, drug manufacturers and providers. The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding of pharmacy, managed care, and specialty to develop and/or implement clinical strategies to mitigate cost while improving health outcomes. He/she requires an in-depth understanding of how organization capabilities interrelate across the function and segment. The role requires a clinician and an effective operator to execute on the formulary and medical drug strategies. **Responsibilities** The Director, Pharmacy Clinical Formulary and Medical Strategies requires a broad understanding of pharmacy, managed care, and specialty to develop and/or implement clinical strategies to mitigate cost while improving health outcomes. He/she requires an in-depth understanding of how organization capabilities interrelate across the function and segment. The role requires a clinician and an effective operator to execute on the formulary and medical drug strategies. **Responsibilities** + Utilize broad understanding of pharmacy, managed care and specialty to develop strategies to mitigate Humana's cost and trend while improving our member's health outcomes and costs + Lead Humana's formulary and medical drug strategy and Pharmacy and Therapeutics processes + Oversee clinical drug reviews and therapeutic class reviews + Oversee drug formulary and medical drug coverage strategies + Oversee clinical drug policy development and utilization management strategies + Lead pharmacy clinical subject matter experts + Promote evidence based medicine and total cost of care models into our formulary and Pharmacy and Therapeutics processes + Work closely with our research and analytics teams to generate real-world evidence + Support creation of specific provider and member communications as needed + Support clinical programs that improve the quality and costs of pharmaceutical care for our members + Partners with clinical, business professionals, actuaries and operations in a team environment + Proactively develops key opportunities leveraging insights, market trends, industry feedback to meet key objectives and leverages information to devise new or improved product offerings + Participates in Humana committees as appropriate + Promotes a continuous process improvement mindset, with a focus on comprehensive process documentation and quality. + Advocates for Humana's clinical formulary strategy in internal and external forums **Required Qualifications** + Eight years of leadership experience + Eight years of clinical experience in managed care or equivalent experience + Five years of formulary and drug policy development experience or equivalent experience + Registered pharmacist; Degree of Doctor of Pharmacy + Deep business and financial acumen + Strong track record of driving solutions that achieved clinical and financial outcomes + Demonstrates initiative with a results orientation, and is highly resourceful (stretches people and money; compresses time) + 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 + 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 **Preferred Qualifications** + MBA, pharmacoeconomics or health outcomes training + Board Certified Pharmacotherapy Specialist + Experience in finance and/or business related pharmacy practice **Key Competencies** + **Leads Change** : Models agility, adaptability and an openness to new ways of thinking and operating. Guides and energizes others to embrace new opportunities arising from change. Inspires strong organizational performance through periods of transformation, ambiguity, and complexity. + **Leads Positively** : Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Empowers and guides associates to take personal responsibility, encouraging them to productively learn, flourish, and strengthen team capacity. Assesses, selects, recognizes, and develops diverse talent to capitalize on competencies, ideas and passions. + **Drives for Excellence:** You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition + **Builds Trust** : You honor your word by doing what you say you are going to do + **Collaborates:** Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others. + **Implementation/Execution:** You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools. Develops and optimizes end-to-end processes + **Problem Solving:** You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over. + **Capacity Planning** : Determines the requirements of a system, process, or work unit. Plans, analyzes and optimizes capacity to satisfy business requirements, predicts and mitigates constraints, plans enhancements to existing systems, processes or work unit capacity, and determines necessary resources required to provide adequate stability and performance in the most cost effective manner **Scheduled Weekly Hours** 40 <>
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