COMPLETE Medicaid Pharmacy Director - Work at Home - Oklahoma

Description

The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or implement strategies and programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Medicaid Pharmacy Director, internally known as a Clinical Pharmacy Lead, Plans, directs, and monitors all financial, operational, professional, and clinical activities for the purposes of pharmacy program development. Implements policies and procedures that ensure the pharmacy department provides optimal pharmaceutical services that meet all legal, accreditation, and certification requirements. 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. Collaborates on research projects and develops proposals for research projects. 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, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

               

Required Qualifications

• Bachelors of Pharmacy or a Doctor of Pharmacy (PharmD)

• Must have an active Pharmacist license with the Board of Oklahoma Pharmacy and reside in the state of Oklahoma

• Must represent Humana at all meetings of the State's Drug Utilization Review (DUR) Board

• In-depth knowledge and at least 3-5 years demonstrated experience in managed care/managed pharmacy/competitive environment, and/or completion of managed care residency

• 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 positions

Preferred Qualifications

• Pharm D

• Master's Degree in Business Administration or a related field

• Experience with Microsoft Access & Microsoft Project

• Experience with pharmacy benefits and health benefits

Work-At-Home Requirements

• Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.  

• Satellite and Wireless Internet service is NOT allowed for this role.

• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information:

"This is a remote position"

All candidates must reside in Oklahoma.

Scheduled Weekly Hours

40