Medicare Stars Clinical Pharmacist Lead

Humana; United States; À distance; USD 139 000 - 191 000; Plein temps

Avantages offerts par ce poste

Bonus incentive plan

Résumé du poste

Humana is seeking a Clinical Programs Pharmacist Lead to join our Pharmacy Stars team, driving clinical program strategies to enhance Medicare member medication adherence and appropriate use. You will work autonomously on complex issues with minimal supervision, delivering data-driven recommendations to improve member safety and outcomes.

The role emphasizes cross-functional collaboration, strong project leadership, and the ability to thrive in a fast-paced environment while maintaining strict

Qualifications

• Doctor of Pharmacy (PharmD) or equivalent from an accredited school.
• Active, unrestricted pharmacy licensure.
• 5+ years of clinical experience in managed care or pharmacy.
• Proficient with Microsoft Office applications (Word, Excel, PowerPoint).
• Excellent written and oral communication skills.
• Ability to manage multiple projects with attention to detail.
• Proven track record in cross-team facilitation and project leadership.
• Strong strategic thinking and planning abilities.

Responsabilités

• Develop, implement and manage clinical program strategies to improve Medicare member medication use.
• Lead analytics and decision-making on complex issues with minimal supervision.
• Collaborate with Pharmacy Stars team to improve patient safety and program outcomes.

Connaissances

Pharmacy degree

Active license

Clinical experience

MS Office

Communication skills

Project management

Data analysis

Formation

Doctor of Pharmacy (PharmD/RPh)

Outils

Microsoft Excel

Microsoft Word

PowerPoint

Description du poste

Become a part of our caring community

The Clinical Programs Pharmacist Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Clinical Pharmacist Lead autonomously develops, implements, and manages clinical program strategies to improve Medicare members’ medication adherence and appropriate medication use. The Clinical Pharmacist lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, works under minimal supervision, and analyzes variable factors to determine the best course of action.

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
• 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
• 2+ years in project management or leadership experience

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.

$138,900 - $191,000 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-15-2026

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.