Medicare Pharmacy Stars Clinical Programs Lead

Humana; United States; Remote; USD 150,000 - 206,000; Full time

Job summary

Humana is seeking a Medicare Pharmacy Stars Associate Director to lead a collaborative team focused on improving Stars performance for Medicare members. You will oversee development, implementation, and management of clinical program strategies and ensure alignment with regulatory and quality goals.

The role requires strong strategic thinking, people leadership, and the ability to make complex decisions across functions while navigating a fast-paced environment.

Qualifications

• PharmD or RPh license active and unrestricted.
• 5+ years of clinical experience in managed care or pharmacy.
• 2+ years of managerial experience.
• Proficient in Microsoft Office applications.
• Excellent written and oral communication skills.
• Ability to lead multiple projects and manage priorities.

Responsibilities

• Oversee and support a team responsible for clinical program strategies to improve Stars performance.
• Develop, implement, and manage clinical programs to improve Medicare members' medication use.
• Make strategic decisions and direct cross-functional projects to meet business goals.
• Ensure accuracy and safety in patient care within a fast-paced environment.

Skills

Managerial experience

Decision making

Communication skills

Attention to detail

Multitasking in fast-paced

Education

PharmD or RPh, active license

Tools

Microsoft Office

Job description

Humana is seeking a Medicare Pharmacy Stars Associate Director to lead a collaborative team focused on improving Stars performance for Medicare members. You will oversee development, implementation, and management of clinical program strategies and ensure alignment with regulatory and quality goals.

The role requires strong strategic thinking, people leadership, and the ability to make complex decisions across functions while navigating a fast-paced environment.