As the Clinical Pharmacy Lead you will monitor drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilize broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to reduce cost trend and improve health outcomes. As a Clinical Pharmacy Lead you will work on problems of diverse scope and complexity ranging from moderate to substantial. You will report to a leader and be a part of the HPS Clinical Program Strategy team.
You will:
- Develop, and operationalize formularies related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products.
- Conduct analysis on drug use trends to evaluate and inform formulary strategies.
- Collaborate on research projects and develop proposals for research projects.
- Develop corporate communications to be shared with senior leadership.
- Support trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
- Advise executives to develop functional strategies (often segment specific) on matters of significance.
- Exercise independent judgment and decision making on complex issues regarding job responsibilities and related tasks, and works under minimal supervision, use independent judgment requiring analysis of variable factors and determining the best course of action.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree
- Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state
- Successful track record in facilitating and consulting across teams and managing projects
- Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions
What Makes You Stand Out Amongst the Rest
- Pharm D
- Master's Degree in Business Administration or a related field
- Experience with Microsoft Access & Microsoft Project
- Experience with pharmacy benefits and health benefits
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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40Pay 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.
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 10-05-2026About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.
Skills Required
- Bachelor's degree
- Active pharmacist license with the Board of Pharmacy in the appropriate state
- Successful track record facilitating and consulting across teams
- Experience managing projects
- Ability to collaborate and communicate effectively with staff at different levels of the organization
- Doctor of Pharmacy degree (PharmD)
- Master's degree in Business Administration or a related field
- Experience with Microsoft Access and Microsoft Project
- Experience with pharmacy benefits and health benefits
Humana Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.
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Healthcare Strength — Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
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Leave & Time Off Breadth — Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
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Retirement Support — A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.
Humana Insights
What We Do
At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
