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Humana Director, Pharmacy Clinical Trend and Pipeline in Boston, Massachusetts


Humana is seeking an experienced management professional to lead an interactive multidisciplinary team that helps translate the clinical into financial to ensure Humana profitability. This position will work and collaborate with leaders across the Humana enterprise, HPS executive leaders as well as have extensive engagement representing Humana with external vendors and providers.

The Director, Pharmacy Clinical Trend and Pipeline requires a broad understanding of pharmacy and managed care to develop and/or implement strategies and programs to mitigate cost while improving health outcomes. He/she requires an in-depth understanding of how organization capabilities interrelate across the function and segment.


  • Utilize broad understanding of pharmacy and managed care to develop strategies to mitigate Humana's cost and trend while improving our member's health outcomes and costs.

  • Leads our clinical drug trend and pipeline strategies and processes.

  • Lead our generic drug and biosimilar therapeutics pipeline processes, including oversight of modeling and tracking the generic dispense rate (GDR) across all lines of business.

  • Partners with clinical and business professionals, actuaries and operations in a team environment.

  • Proactively monitors relevant publicly available news/developments in the pharmaceutical sector to direct relevant drug pipeline and trend investigations.

  • Develop corporate communications of high quality to be shared with senior leadership such drug pipeline updates and market event notifications.

  • Proactively develops of key opportunities leveraging insights, market trends, industry feedback to meet key objectives and leverages information to devise new or improved product offerings.

  • Supports clinical research integration activities with internal research department.

  • Participates in Humana Pharmacy committees as appropriate.

  • Invest in the development of associates, and the growth of the team.

Key Competencies

  • Leads Change : Models agility, adaptability and an openness to new ways of thinking and operating. Guides and energizes others to embrace new opportunities arising from change. Inspires strong organizational performance through periods of transformation, ambiguity, and complexity.

  • Leads Positively : Leads by example to cultivate a climate of motivation, positive energy and meaning in work. Empowers and guides associates to take personal responsibility, encouraging them to productively learn, flourish, and strengthen team capacity. Assesses, selects, recognizes, and develops diverse talent to capitalize on competencies, ideas and passions.

  • Drives for Excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition

  • Builds Trust : You honor your word by doing what you say you are going to do

  • Collaborates: Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts Humana's overall success first. Develops and strengthens networks and relationships, both inside and outside the organization, that support company performance. Proactively and transparently contributes information and energy toward creating value with others.

  • Implementation/Execution: You are good at organizing and managing multiple priorities and/or projects by using appropriate methodologies and tools. Develops and optimizes end-to-end processes

  • Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving. Acting as both a broker and consultant regarding resources, you engage others in problem solving without taking over.

  • Capacity Planning : Determines the requirements of a system, process, or work unit. Plans, analyzes and optimizes capacity to satisfy business requirements, predicts and mitigates constraints, plans enhancements to existing systems, processes or work unit capacity, and determines necessary resources required to provide adequate stability and performance in the most cost effective manner

Required Qualifications

  • Pharmacy degree from an accredited School of Pharmacy

  • Active, unrestricted pharmacy licensure

  • Five years of leadership experience

  • Eight years clinical experience in managed care or equivalent experience

  • Deep business and financial acumen

  • Strong track record of driving solutions that achieved clinical and financial outcomes

  • Demonstrates initiative with a results orientation, and is highly resourceful (stretches people and money; compresses time)

  • Experience with effectively coaching, developing and leading direct reports and cross-functional teams

  • Complex and innovative problem-solving, analytical, critical and strategic thinking capabilities; knows how to create options and then converge on solutions

  • Brings an organized, attention-to-detail approach (strong tactical execution)

  • Exceptional cross-functional collaboration, relationship management, influencing, and interpersonal skills

  • Impeccable oral and written communication skills, as well as the polish, poise, and executive presence to effectively interact with and present to external partners and executive and senior-level stakeholders

  • Very disciplined; has the ability to manage competing priorities and operate effectively within a large and complex organizational structure

  • Ability to engage, educate, influence and guide matrixed teams at all levels on the concepts, opportunities and strategy of managing specialty and traditional medications

  • 15% Travel

  • We will require full COVID vaccination ( for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Preferred Qualifications

  • MBA, pharmacoeconomics or health outcomes training

  • Board Certified Pharmacotherapy Specialist

  • Experience in finance and/or business related pharmacy practice

  • An understanding of financial analysis and equity research

Scheduled Weekly Hours