Humana Pharmacy Business Optimization Lead in Troy, Michigan
Humana Pharmacy Solutions is seeking a Pharmacy Business Optimization Lead. This individual will work with our various business channels and partners to optimize mail order pharmacy utilization by identifying programs and processes to help members access and maximize their pharmacy benefits. We are seeking a business savvy individual who is passionate about continuously improving consumer experience.
Role: Pharmacy Business Optimization Lead
Organization: Humana Pharmacy Solutions
The Pharmacy Business Optimization Lead will translate strategic direction of the broad Humana Pharmacy organization into actionable tactical strategies to drive growth and impact Pharmacy utilization metrics.
These tactical strategies will effectively define and uncover business growth channels, and align these new business partners to develop growth and utilization opportunities.
The Business Optimization Lead will work cross functionally, reaching across multiple business channels including but not limited to: Humana Pharmacy Solutions, Medicare and MAPD Markets, Providers, Humana Clinical Operations, Home Operations, Joint Venture relationships, new and emerging Clinical Outreach Teams, Customer Service Organizations, Humana Business Development, and more.
Duties & Responsibilities include:
Lead a team of channel development professionals
Deliver annual incremental growth of member referrals to Pharmacy
Translate departmental and corporate strategies into actionable tactical strategies and roadmaps to drive Rx referrals, incremental prescription growth and long-term member pharmacy mail order utilization
Develop, enhance and optimize existing Humana business, member pharmacy referral sources (channels)
Identify new, unique opportunities to identify incremental growth initiatives
Identify, develop and grow new business (channel delivery) partnerships
Specify data, reporting and trending criteria needs to best assess effectiveness of channel performance, identify trends to uncover and optimize previously unforeseen incremental growth opportunities
Initiate and drive adoption of campaigns, processes and pilots which our aligned business partners will support that will enhance business outcomes and grow referrals to the Pharmacy Education Team
Identify and guide the development of support materials needed enhance member referrals to include but not limited to: Informational pamphlets, educations and training materials, reference documents, contact communications, incentives, etc.
Assure the Pharmacy Integration Team and it’s strategies remain agile and evolve with the changing needs and processes of the aligned business/channel partners
Bachelor's degree in business, or a related field
Experience in healthcare, PBM industry or related business
Team leadership experience
Experience working in a matrix organization
Comprehensive knowledge of Microsoft Office programs
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience working with initiatives associated with these entities: Humana at Home, Kindred at Home, In-Home Wellness Assessment, or Retail Contact Center
2 or more years of sales experience in the health solutions industry
5+ years of experience leading and developing a team
The following policy applies ONLY to associates working in the state of Arizona:
Humana is committed to providing a safe and healthy work environment and to promoting the health and well-being of its associates. Effective July 1, 2011, Humana has adopted a tobacco-free hiring policy that will promote a healthier workplace and will not hire users of tobacco and nicotine products. If you have any questions, please consult with your recruiter.
Scheduled Weekly Hours
Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact firstname.lastname@example.org for assistance.
Humana Safety and Security
Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact email@example.com to validate the request.
If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here:
- Humana Jobs