Pharmacy and Therapeutics Quality and Process Professional 2

    • Louisville, KY

Description

The Pharmacy and Therapeutics Quality and Process Professional 2 is an integral part Humana's Clinical Formulary Strategy team. Humana is seeking a positive and proactive individual to contribute to this high performing team which drives clinical, compliance, and operational execution of Humana's formulary strategies.

Responsibilities

  • Assists with Humana's Pharmacy and Therapeutics processes including tracking of metrics to ensure regulatory compliance and identifying opportunities for process improvement to drive quality and efficiencies.
  • Assists with all compliance related tasks including, but not limited to reporting of quality events, evaluation of business related impacts, and execution of remediation plans.
  • Collaborates across various functional areas to identify and implement compliance opportunities and improvements.
  • Proactively assesses suite of pharmacy communication products to ensure all are a best-in-class.
  • Utilizes process-based methodologies to develop new end to end processes, optimize existing ones, and identify ways to enhance efficiency.
  • Responsible for appropriate identification of root causes through effective use of data analysis tools and techniques.
  • Creates and communicates business reports, metrics and assists in resource planning models.


Required Qualifications
  • Bachelor's Degree or comparable experience
  • Six Sigma Green belt certified or pursuing certification
  • Strong project management and organizational skills
  • Ability to communicate effectively and create presentations for leadership
  • Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
  • Flexible, dynamic personality who works well in a team environment and is also an individual contributor
  • Able to give direction and make sound business decisions
  • Ability to work in either a team or an individual capacity to achieve goals and meet deadlines
  • Working knowledge of all Microsoft Office applications, including Word, PowerPoint, and Excel


Preferred Qualifications
  • MBA or pursuing degree
  • Three years' experience in pharmacy benefits management and Medicare Part D
  • Experience developing system enhancements to drive efficiencies
  • Previous experience leading others
  • Data analysis and experience working with Access, SQL and Excel


Scheduled Weekly Hours

40


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