Senior Pharmacy Clinical Advisor

Become a part of our caring community

The Senior Pharmacy Clinical Advisor advises and collaborates with cross-functional leaders with goals of combining clinical pharmacy acumen with holistic desired health outcomes. Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Pharmacy Clinical Advisor will be a part of a collaborative Pharmacy Stars team which is accountable for Humana's Stars patient safety measure performance. You will develop, implement, and manage clinical program strategies to improve Medicare members' appropriate medication use with a specific focus on provider and member engagement solutions delivered through multiple channels. You will exercise independent judgment and decision-making on complex issues, analyze variable factors to determine the best course of action, and work across multiple departments to execute strategies.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree or equivalent
• 5+ years of healthcare or project management experience
• Strong analytical skills
• Skilled in using data to identify areas of concern and drive operational changes
• Successful track record in facilitating and consulting across teams and managing projects
• Demonstrated ability to implement projects/campaigns and achieve business goals
• Proficiency in Microsoft Word, Outlook, Excel, and PowerPoint
• Passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Master's Degree in Business Administration, Health Administration, or a related field
• Prior managed care experience
• Understanding of metrics, trends, and the ability to analyze and identify gaps in care
• Proven organizational and prioritization skills and ability to collaborate with multiple departments
• Understanding of CMS Stars and performance measure knowledge and experience
• Background working in quality improvements

Additional Information

As part of our hiring process, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability.

Work at home requirements

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable, or DSL connection is suggested.
• Satellite, cellular, and microwave connections can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide telephone equipment appropriate to meet the business requirements.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

SSN Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana's secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range reflects a good faith estimate of starting base pay for full-time (40 hours per week) employment at the time of posting: $86,300 - $118,700 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Description of Benefits

Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance, and more.

Application Deadline: 07-30-2026

About us

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status.