Jobs · Healthcare

Senior Oncology Clinical Pharmacist

Humana · United States · Yesterday
RemoteRemoteHealthcare$126k–$174k/yrFull-time

About the role

The Clinical Drug Evaluation and Policy Strategies Senior Clinical Pharmacist monitors drug development pipeline and medical literature, while providing clinical support for internal stakeholders. They utilize a broad understanding of managed care and PBM knowledge to develop and/or implement strategies and programs to mitigate cost trends and improve health outcomes.

Responsibilities

  • Utilize a broad understanding of managed care and PBM knowledge to develop and/or implement strategies and programs to mitigate cost trends and improve health outcomes.
  • Develop, maintain, and/or operationalize strategies related to utilization management edits and/or clinical coverage policies for pharmacy and medically administered drug products.
  • Participate in Humana’s formulary and Pharmacy and Therapeutics processes.
  • Conduct analysis on drug utilization trends to evaluate and inform formulary strategies.
  • Serve as a clinical subject matter expert and provide clinical support across Humana.
  • Support trend management by conducting analysis of drug spend, utilization, and/or approval scenarios.
  • Make decisions on moderately complex to complex issues regarding technical approach for project components.

Requirements

  • Pharmacy degree from an accredited school of pharmacy.
  • An active Pharmacist license with the Board of Pharmacy in the appropriate state.
  • Less than 10% travel requirement including visit(s) to home office in Louisville, KY.
  • BPS Board Certification (any BPS certification; BCOP Preferred).

Qualifications

  • Clinical experience in managed care or other pharmacy related field.
  • Pharmacoeconomics and Health Outcomes training.
  • Pharmacy practice residency or similar pharmacy practice experience.
  • Knowledge of Medicare as it relates to pharmacy.
  • Six Sigma and/or Project Management Professional certification.

Skills

  • Strategically thinks through problems and solutions.
  • Builds trust with colleagues and clients.
  • Drives for excellence in all aspects of work.
  • Innovates and introduces new ideas and processes.
  • Effectively implements and executes plans.
  • Solves problems collaboratively and effectively.

Benefits

Humana offers competitive benefits that support whole-person well-being. Associate benefits include medical, dental, and vision benefits, a 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.

Pay

$126,300 - $173,700 per year

Schedule

This is a remote position, with occasional travel to Humana's offices for training or meetings may be required.

Application Deadline

07-20-2026

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