Humana · 1 month ago
Clinical Pharmacist Principle
United States
Full-time
Remote
Senior Level, Lead/Staff
$139K/yr - $191K/yr
10+ years expHumana is committed to putting health first and is seeking a Clinical Pharmacist Lead to monitor drug development and provide clinical support. The role involves developing strategies to mitigate costs and improve health outcomes while ensuring compliance with regulations and managing pharmacy operations.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Keeps current with State and Federal regulations regarding the practice of Pharmacy and implements changes as necessary to maintain compliance supporting both the business and public relations strategies
Develops corporate communications to be shared with senior leadership
Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios
Advises executives to develop functional strategies (often segment specific) on matters of significance
Exercises independent judgment and decision making on complex issues regarding job duties and related tasks
Works under minimal supervision, using independent judgment requiring analysis of variable factors and determining the best course of action
Facilitates and consults across teams and managing projects working collaboratively and communicating with staff in different positions and all levels of management positions
Manages the Humana Michigan FIDE-SNP health plan relationship with our internal PBM, Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming
Represents Humana at all Pharmacy Medicaid meetings including those with the Michigan Department of Health and Human Services (MDHHS)
Qualification
Required
Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD)
Must have an active Pharmacist license with the Board of Pharmacy in the appropriate state AND have a Michigan license or ability to obtain
Minimum of ten plus years of Pharmacy Experience with at least three years' experience in managed care and/or PBM operations
Ability to travel 10% of time
Successful track record in facilitating and consulting across teams and managing projects
Thrives in a fast paced, multi-project work environment while still ensuring attention to detail
Excellent communication skills, both oral and written
Proficiency in Microsoft Word, Excel, & PowerPoint
Expertise in working collaboratively and communicating with staff in different positions and all levels of management position
Preferred
Bachelor's degree (or higher) in public health, Business Administration or a related field
Board Certified Specialty Pharmacist
Experience with Microsoft Access & Microsoft Project
Experience with data analytics
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
Company data provided by crunchbase