Senior Clinical Pharmacist - Medicaid Pharmacy Trend Programs

Become a part of our caring community

The Senior Clinical Pharmacist - Medicaid Pharmacy Trend Programs, serving on the Stewardship Program Innovation and Rx Trend team, plays a crucial role in driving collaboration across teams to implement essential clinical program strategies across Medicaid lines of business. This position is central to advancing the ongoing growth and innovation of our pharmacy clinical programs. The successful candidate will work closely with colleagues across various programs and key partner teams to foster collaborative achievement and uphold program excellence.

Key Responsibilities:

• Performing functions to execute and track various clinical program strategies, including:
  • Collaborating with multiple partner teams, such as Medicaid Customer Success, Trend Detection, Trend Management, Pharmacy Analytics and Consulting (PAC), Marketing, and Humana Clinical Pharmacy Review to ensure alignment and seamless program execution.
  • Collaborating on the maintenance of clinical program target drug lists with the Clinical Formulary and Medical Strategies team.
  • Tracking, analyzing, and reporting program-specific key performance indicators to inform decision-making and demonstrate outcomes.
• Develop and sustain effective working relationships with external vendors and internal operations teams to foster program success.
• Participate in clinical program innovation, including the development of new program initiatives and the ideation and testing of enhancements to existing programs.

This role requires a proactive approach to cross-functional teamwork and a commitment to continuous improvement, in alignment with Humana's focus on championing innovation and collaboration across our organization.

Use your skills to make an impact

Required Qualifications:

• PharmD from an accredited institution.
• Active pharmacist license with the Board of Pharmacy in state of residence
• Excellent communication and collaboration skills.
• Strong Microsoft Excel skills that would allow for efficiently tracking, analyzing and creating insights from various data sets.
• Expertise in working collaboratively and communicating with staff in different positions and all levels of management positions.

Preferred Qualifications

• Managed Care Residency Training or 3 years working as a managed care pharmacist
• Board Certification
• Master's Degree in Business Administration or a related field
• Operations experience

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.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website

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

40

Pay 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.$126,300 - $173,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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: 09-13-2026

About 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.