Medicare Pharmacy Stars Associate Director

Humana; Santa Fe (NM); Remote; USD 150,000 - 206,000; Full time

Benefits offered by this job

Competitive benefits

Bonus incentive plan

Job summary

Humana, Inc. is seeking a Pharmacy Stars Associate Director to lead a collaborative team focused on Medicare member medication safety and appropriate use. You will oversee program development, implementation, and management while driving performance toward quality measures.

You will direct multi-team efforts, analyze complex data, and make strategic decisions to improve consumer experiences in a fast-paced environment.

Qualifications

• Doctor of Pharmacy degree and active, unrestricted license.
• 5+ years clinical experience in managed care or pharmacy field.
• 2+ years of managerial experience; ability to direct teams and make decisions.

Responsibilities

• Oversee and support a team responsible for clinical program strategies to improve Medicare members' medication use.
• Ensure performance against multiple quality measures and strategic goals.
• Provide direction and sound business decisions across teams and departments.

Skills

Excellent written and oral comms

Strong decision making

Project management

Ability to work under pressure

Ability to analyze data and make recs

Proficient in Microsoft Office

Education

Doctor of Pharmacy (PharmD or RPh)

Master's Degree in Business/Healthcare Admin or related field

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Become a part of our caring community

The Pharmacy Stars Associate Director will be a part of a collaborative Pharmacy Stars team which is accountable for Humana's Stars patient safety measure performance. The Associate Director will oversee and support a team responsible for development, implementation, and management of clinical program strategies to improve Medicare members' appropriate medication use. The Associate Director has accountability to performance goals for multiple quality measure and exhibits strong decision making on complex issues regarding job duties and related tasks. The Associate Director, Clinical Pharmacist requires a solid understanding of how organization capabilities interrelate across department(s).

Use your skills to make an impact

Required Qualifications

• Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy
• Active, unrestricted pharmacy licensure
• 5+ years of clinical experience in managed care or pharmacy related field, or equivalent
• More than two years of experience as a Manager
• Able to give direction and make sound business decisions
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Proficient in Microsoft Office applications (especially Word, Excel, and PowerPoint)
• Excellent written and oral communication skills
• Thrives in a fast paced, multi-project work environment while still ensuring attention to detail
• Successful track record in facilitating and consulting across teams and managing projects
• Strategic thinking and planning capabilities, organized, and detail-oriented
• Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data

Preferred Qualifications

• Previous experience in Medicare Stars
• Managed care and/or community pharmacy experience or residency/fellowship
• Previous experience in clinical program development and leadership
• Master's Degree in Business, Healthcare Administration, or related field

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 [e-mail] 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.

$150,000 - $206,300 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.

Application Deadline: 11-08-2026

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 atHumana.comand atCenterWell.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.

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. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.