National Director, Clinical Pharmacy- Remote - Louisville, United States - Humana Inc.

Description

Become a part of our caring community and help us put health first

The National Director, Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing, and improving clinical pharmacy programs for the Primary Care Organization (PCO) that transform outcomes for seniors in medication-related care, integrate pharmacy care with primary care, and to effectively support our rapidly growing clinical pharmacy workforce.

This clinical leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader within our growing Complex Care function under the PCO's Chief Medical Officer.

This role reports to the National Director, High Risk Patient Management.


Responsibilities will include:

• Lead comprehensive clinical pharmacy service development, execution, and operations in support of primary care patients and care teams served by the Primary Care Organization, to include but not limited to: building pharmacy team-based care integration & programs across medication reconciliation, disease management (including medication therapy management), medication adherence, polypharmacy, and other crucial areas; as well as development of other pharmacy-related clinical initiatives to improve medication quality, cost, and appropriate use based on evidence-based practices for a large, national primary care group focused on seniors
• Evaluate current programs and drive roadmap and execution progress for continuous improvement, improving patient outcomes and achieving business goals
• Collaborate with national clinical & operational leadership, shared services, collaborating business units such as CenterWell Pharmacy, to ensure integrated pharmacy programs are well-designed, well-executed, and deliver impact on business and clinical goals.
• Act capably and competently as the national pharmacy subject matter expert (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations, training, process, and analytics to optimize our pharmacy approach.
• Co-Chair the PCO's Pharmacy & Therapeutics Committee, guiding pharmacy-related clinical policy development and recommendations
• Lead continuous improvement and feedback loops to identify best practices, unwarranted variation in care or operations, and drive improvement opportunities for current program, working with team members, patients, and other stakeholders
• Serve as an internal and external champion for the program areas under purview
• Support pharmacy performance improvement activities and align pharmacy services with improvement quality metrics and Medicare part D performance.
• Collaborate with stakeholders to improve pharmacy-directed HEDIS measures (Med Adherence) and programs to improve medication optimization and promote age-friendly care
• Maintain current knowledge of pharmacy/medical trends within ambulatory/primary care and Medicare

Use your skills to make an impact

Required Qualifications

• Doctor of Pharmacy (PharmD) with active Pharmacist license with the Board of Pharmacy in the appropriate state and willingness and ability to be licensed in additional states. Prior residency and experience in community/ambulatory pharmacy practice/primary care practice.
• 5-7+ years of progressive clinical pharmacy program leadership experience as a manager, director, or higher overseeing clinical pharmacy services and programs
• Proven ability to drive comprehensive pharmacy program effectiveness and oversight across multiple sites and geographies, with concrete impact on clinical and business outcomes
• Experienced team leader with success leading large, collaborative efforts and teams, including direct-reports and matrixed functions

Preferred Qualifications

• Additional post-graduate training and certification beyond PharmD, such as MBA, MHA
• Reside in proximity to a Conviva/CenterWell market location(s)
• Experience working in a value-based care, senior care, and/or Medicare managed care

Workstyle

This is a remote position with travel to Conviva/Centerwell clinic locations across the US as needed

Additional Information


Work at Home Statement:
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 recommended; 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

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.

$164,700 - $226,600 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About CenterWell Senior Primary Care:

CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being.

Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes.

We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company:
CenterWell creates experiences that put patients at the center.

As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

As part of Humana Inc.

(NYSE:

HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career.

We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company.

By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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 because he or she is a protected veteran.

It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.