AVP, Clinical Drug Strategy

Centerwell

AVP, Clinical Drug Strategy

Santa Fe ,

New Mexico

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Become a part of our caring community and help us put health firstAssociate Vice President, Clinical Drug StrategiesHumana is seeking a proven healthcare executive focused on leadership, culture and strategic business development with extensive clinical strategy, operations and policy experience.

Demonstrated ability to define vision and strategy, drive transformation, achieve objectives, attract, develop and retain top talent.

This leader will work and collaborate with leaders across the Humana enterprise, Humana Pharmacy Solutions executive leaders as well as have extensive engagement representing Humana with external entities and providers.

This role will provide clinical thought leadership and will be responsible for the following : promoting evidence based medicine, Humana's Pharmacy and Therapeutics Committee and processes, the pharmacy research strategy, formulary strategy and operations, drug policy creation and management, utilization management strategy, clinical trend initiatives, Humana's managed care residency program.

This individual will collaborate closely with internal and external partners, providing a voice to the role of formulary in supporting health outcomes, advocacy needs in the changing Part D Space, a champion for interoperability and transparency for both members and providers all while advancing and designing formulary strategy of the future.

The organization aligned to this leader is made up of about 80 associates and will report to the VP of Pharmacy Clinical Strategies.

ResponsibilitiesPartners closely with Retail and Centerwell partners to drive enterprise value and health outcomes.Invests in the growth and development of associates.

Integrates across the broader pharmacy organization to amplify the enterprise value of pharmacy.Work closely with plan partners in the design of our formulary strategy to support formulary's role as a health outcomes tool and a selling tool.

Advance Humana's commitment to Health First and an integrated healthcare experience by continuously thinking across end users of the formulary / policies (plan, providers, members) to streamline the experience and increase transparency.

Drive innovative thinking across formulary design, implementation, and maintenance.Partner closely with our Government Affairs partners on advocacy needsCollaborates with key business partners, Clinical Program Strategies within pharmacy and within the health plan to maximize formulary value and member / provider experience.

Provides clinical thought leadership internally and externallyUtilizes broad understanding of pharmacy, managed care, Medicare and Medicaid to develop strategies to mitigate Humana's cost and trend while improving our member's health outcomes and costsOwns clinical formulary strategy and formulary administrationOwns Humana's Pharmacy and Therapeutics committeeOwns drug policy creation and management, utilization management strategy, clinical trend initiativesDrives the pharmacy research strategy, contributing internally and externallyOwnership of the managed care residency program for HumanaPartners with clinical and business professionals, actuaries, compliance and risk, and operations leaders in a team environmentLeads 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 competitionBuilds Trust

You honor your word by doing what you say you are going to doCollaborates :

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 processesProblem 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 mannerUse your skills to make an impactRequired Qualifications5+ years of clinical experience in managed care or equivalent experience2+ years of formulary strategy and operations, drug policy development or equivalent experience5+ years of leadership experienceRegistered pharmacist;
• Degree of Doctor of PharmacyStrong track record of driving solutions that achieved clinical and financial outcomesComplex and innovative problem-solving, analytical, critical and strategic thinking capabilities;
• knows how to create options and then converge on solutionsExceptional cross-functional collaboration, relationship management, influencing, and interpersonal skillsVery disciplined;

has the ability to manage competing priorities and operate effectively within a large and complex organizational structureAbility to engage, educate, influence and guide matrixed teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medicationsAble to articulate vision, mobilize teams, and deliver resultsStrong delegation and decision-making skillsSuccess in leading teams- effectively coaching, developing and leading, including direct-reports and matrixed functionsImpeccable oral and written communication skills, as well as the polish, poise, and executive presence to effectively interact with and present to executives, external partners, and senior-level stakeholdersPreferred QualificationsMBA, pharmacoeconomics or health outcomes research trainingBoard Certified Pharmacotherapy SpecialistPrevious involvement with residency training and / or preceptor for pharmacy school(s)Six Sigma, Lean (or other quality program) backgroundScheduled Weekly Hours40Pay RangeThe 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 decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$219,400 - $301,800 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of BenefitsHumana, 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.

About usHumana Inc. (NYSE : HUM) is committed to putting health first - for our teammates, our customers and our company.

Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity EmployerIt 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 because he or she is a protected veteran.

It is also the policy of Humanato 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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion.

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