Pharmacy Director

Remote Full-time
**Overview:** As a Pharmacy Director, you will play a crucial role in leading the pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. You will leverage your broad understanding of managed care and pharmacy benefit management (PBM) to develop and implement strategies and programs that drive trends and improve health outcomes. **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). **Qualifications:** • Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) • Michigan-licensed pharmacist residing or willing to relocate to Michigan • 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 positions • *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 Apply tot his job
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