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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in drug development and formulary management, with a strong focus on clinical support and cost trend reduction strategies. Proven ability to analyze drug utilization trends and collaborate effectively across teams while maintaining compliance with HIPAA regulations.
Highest-signal resume keywords
Active Pharmacist LicensePharm DExperience With Pharmacy BenefitsMicrosoft AccessMicrosoft Project
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Drug Development MonitoringFormulary DevelopmentCost Trend AnalysisClinical Coverage Policy ImplementationResearch Project Proposal Development
Soft Skills
Independent JudgmentDecision-MakingCollaborationCommunication
Certifications & Qualifications
Bachelor's DegreeMaster's Degree In Business Administration
Industry Keywords
Drug Utilization ManagementHealth Outcomes ImprovementClinical SupportTrend ManagementPHI / HIPAA Compliance
About the role
Key responsibilities & impact- Monitor the drug development pipeline and medical literature
- Provide clinical support for internal stakeholders
- Develop and/or implement strategies and programs to reduce cost trend and improve health outcomes
- Develop and operationalize formularies for coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products
- Analyze drug use trends to evaluate and inform formulary strategies
- Collaborate on research projects and develop research project proposals
- Develop corporate communications for senior leadership
- Conduct analysis of drug spend, utilization, and/or approval scenarios to support trend management
- Advise executives on functional strategies, often segment-specific
- Exercise independent judgment and decision-making on complex issues with minimal supervision
- Report to a leader and participate in the HPS Clinical Program Strategy team
- Occasionally travel to Humana offices for training or meetings
Requirements
What you’ll need- Bachelor's degree
- 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
- Pharm D (standout qualification)
- Master's Degree in Business Administration or a related field (standout qualification)
- Experience with Microsoft Access & Microsoft Project (standout qualification)
- Experience with pharmacy benefits and health benefits (standout qualification)
- Minimum 25 Mbps download and 10 Mbps upload internet service
- Dedicated work space without ongoing interruptions to protect member PHI / HIPAA information
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical, dental and vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company and personal holidays
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Personal wellness and smart healthcare decision support
- Remote work arrangement
- Internet service requirements/support for home or hybrid employees