Senior Clinical Pharmacist

** Become a part of our caring community*
* The Senior Clinical Pharmacist monitors clinical criteria in order to provide clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM to implement strategies and programs to mitigate cost trend and improve health outcomes. The Senior Clinical Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Clinical Pharmacist develops, maintains, and/or operationalizes preferred drug lists related to coverage, utilization management edits, or clinical coverage policies for pharmacy and medical administered drug products. Conducts analysis on drug utilization trends to evaluate and inform process and build needs. Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

Exercises considerable latitude in determining objectives and approaches to assignments.

** Use your skills to make an impact*
* ** Required Qualifications*
* + Pharmacy Degree (PharmD or RPh) from an accredited School of Pharmacy

+ Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state

+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences

+ Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data

+ Flexible, dynamic personality who works well in a team environment and is also an effective individual contributor

** Preferred Qualifications*
* + Health Plan experience

+ Knowledge of Medicaid as it relates to pharmacy

+ Six Sigma and/or Project Management Professional certification

+ Pharmacy practice residency or similar pharmacy practice experience

+ Proficient in Microsoft Applications (Excel, PowerPoint, Word)

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

Final date to receive applications: 10-29-2026

** About us*
* About Humana:
Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana…