Pharmacy Infusion Lead

Profile

Description

The Pharmacy Infusion Lead advises and collaborates with cross functional leaders with goals of combining clinical Rx acumen with holistic desired health outcomes. The Pharmacy Infusion Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

The Pharmacy Infusion Lead uses financial and other data driven methods to construct value propositions leading to impactful, longer term decisions. Translates information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences. Works across multiple departments to execute strategies. 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.

Responsibilities

New Infusion Strategy Development, Integration and Product Build/Launch

Drive the ideation, development, change management and launch of new infusion strategy products

Proactively monitors place of treatment analytics to identify opportunities to optimize the member infusion experience (e.g. financial, clinical and satisfaction)

Continuously monitors relevant publicly available news/developments in the pharmaceutical sector, performing any ad hoc analyses and generating insights, related to home infusion and alternative infusion centers

Utilizes broad understanding of managed care, medical/home infusion billing and network dynamics to accelerate growth of the strategy

Develop, lead and execute collaborations with cross functional enterprise-wide partners (e.g. Home Solutions assets) to incorporate infusion into the Humana vision for care in the home

External Home Infusion Vendor Preferred Partners

Develop, monitor and optimize performance guarantees for infusion vendor partners as part of our overarching quality culture in collaboration with pharmacy networks

Identify and assess new capabilities of home infusion vendors while serving as the primary clinical point of contact between the vendors and the health plan

Overarching objectives

Produce top quality presentations and reports to be shared with senior leadership such as strategy updates, and market event notifications

Convene and collaborate with pharmacists, business professionals and actuaries in a team environment, specifically collaborating closing with our pharmacy analytics team, Site of Care clinical pharmacy lead, the Clinical Pharmacy Leads for Medical Trend, Pharmacy Networks, clinical formulary subject matter experts and Home Solutions leaders.

Present confidently to senior leadership on key metrics including home infusion market shares and high-value opportunities

Lead multidisciplinary meetings, embracing the keys of Essential Facilitation, to drive to alignment and results

Champion for enterprise wide infusion strategy alignment, working through others to execute on shared goals.

Competencies

Understands managed care and is capable of generating broad insights into the business

Self-directed

Accountable to financial goals

Ability to influence others to achieve goals and meet deadlines

Proven problem-solving and troubleshooting skills

Strong critical thinking skills

Works well independently and within a team setting to achieve goals and meet deadlines

Demonstrates initiative and the ability to multi-task and prioritize assignments

Ability to lead initiatives or projects

Very strong presentation skills

Able to produce clear, concise process documentation

Positive and proactive

Qualifications

Three years experience in managed care or pharmacy related field

Experience in managing the strategic planning cycle for a large organization with cross-functional engagement and prioritization

Experience executing complex strategic and operational initiatives

Problem-solving and project management skills

Excellent oral and written communication skills, previous experience presenting and interacting with senior leadership

Flexible, dynamic personality with a demonstrated ability to lead and influence others without authority while contributing individually

Previous experience in medical and pharmacy analytics

Working knowledge of MS excel, MS PowerPoint required

Role Desirables

Clinical degree (e.g. Pharm. D.)

MBA, pharmacoeconomics or health outcomes training

Six Sigma, Lean (or other quality program) background

Exposure to home infusion and/or alternative sites of infusion

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com