The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy Clinical Advisor Professional 2 is responsible for business and financial support of clinical programs focused on improving medication adherence in the member's Humana serves and delivery of excellent Star ratings for medication adherence measures. This role functions in a highly collaborative environment across multiple departments, including key internal Pharmacy partners, Clinical Program Leads, Pharmacy Analytics, and external vendors. The Pharmacy Clinical Advisor Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Pharmacy Clinical Advisor Professional 2 manages all aspects of a project, from start to finish, so that it is completed on time and within budget. Ensures the efforts of multiple cross-functional project teams responsible for specific work streams are working in an integrated manner to optimize the experience and ensure timely completion of key milestones. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and received guidance where needed. Follows established guidelines/procedures.
Facilitate collaboration and partnership with the stakeholders including Clinical Program Leads, Pharmacy Analytics, external vendors, and other key partners to design, communicate, and implement business strategies and operational plans, in order to drive success in medication adherence Star measures.
Assist Clinical Program Leads and Program Business Owners with metrics reporting and program performance including ROI analyses.
Taking action to resolve operational problems, minimize delays, and quickly escalate issues that could possibly result in missed deadlines and identify programmatic solutions.
Establish the meeting cadence, conduct meetings, and prepare reports and presentations to communicate the status of the program.
Present confidently to leadership and stakeholders on key metrics related to medication adherence.
Develop and update formal policy & procedures to align with standard operating procedures and identify improvements to current processes.
Create reporting tools to track results, provide insights/trends and adjust program strategies based on results by working with key partners and data analyst(s).
Bachelor's degree or equivalent and minimum 3 to 5 years of technical healthcare experience
Exceptional oral and written communications skills, including preparing and presenting information to all levels internal and external to an organization
Proven ability to perform complex data analysis that are relevant to business needs
Flexible, dynamic personality who works well in a team environment and can lead a project
Excellent computer skills including proficiency in Microsoft Excel, PowerPoint, Microsoft Word and Outlook
Master's Degree in Business, Finance, Healthcare Administration or related field
Project Management experience (PMP a plus)
Six Sigma or Green Belt
Scheduled Weekly Hours