Director, Clinical Pharmacy

Become a part of our caring community and help us put health first
 

The Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Director, Clinical Pharmacy requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

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 engagements with external vendors.

Job Description

The Director, HPS Clinical Programs requires a broad understanding of pharmacy, managed care, and patient centered clinical programs with a focus on improving health outcomes via optimized medication use.

Responsibilities

• Demonstrate the highest level of enterprise leadership in order to build a high performing team, optimize results, and collaborate across Humana's matrixed organization.
• Utilize broad understanding of pharmacy, managed care and study design to develop patient centered clinical programs with a focus on improving health outcomes via optimized medication use.
• Deliver new and incremental pharmacy and medical cost trend savings, and work efficiently with his/her resources.
• Lead our clinical program design, vetting and implementation process.
• Partners with clinical and business professionals, actuaries and operations in a team environment
• Proactively monitors relevant publicly available news/developments in the pharmaceutical sector to direct relevant clinical program ideation
• Foster a long term vision, elevating the role of the pharmacist within patient care and promote the creation of clinical programs that highlight the value of pharmacist intervention.
• Continuously invest in both clinical program creation and optimization of existing offerings.
• Supports clinical research integration activities with internal research department
• Participates in Humana enterprise committees as appropriate
• Partner with Care Management leadership to promote integrated solutions.

Required Qualifications

• Eight years clinical experience in managed care or equivalent experience
• Three+ years of leadership 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 specialty and traditional medications

Preferred Qualifications

• MBA, Pharmacoeconomics or health outcomes training
• Board Certified Pharmacotherapy Specialist
• Experience in finance and/or business related pharmacy practice
• An understanding of financial analysis and equity research
• Experience in health outcomes research
• Previous experience in trend analysis
• Previous experience in study design

Use your skills to make an impact
 

Additional Information:

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website

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.

 

$168,000 - $231,000 per year

 

This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 03-20-2026

About us
 

Humana 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.

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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.