Humana · 16 hours ago
Pharmacy Stars Improvement Lead
United States
Full-time
Remote
Entry, Mid Level
$104K/yr - $143K/yr
2+ years expHumana Inc. is committed to putting health first and is seeking a Pharmacy Stars Improvement Lead to join their collaborative Pharmacy Stars team. This role involves developing, implementing, and managing clinical program strategies to enhance medication adherence and appropriate medication use for Medicare members, focusing on telehealth and in-home care delivery.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develop, implement, and manage clinical program strategies to improve Medicare members' medication adherence and appropriate medication use
Exercise independent judgment and decision making on complex issues regarding job duties and related tasks
Work under minimal supervision and analyze variable factors to determine the best course of action
Qualification
Required
Bachelor's Degree in Business, Finance, Health Care or a related field
2 or more years of project leadership experience
Prior Medicare/Medicaid experience
Strategic thinking and planning capabilities; organized and detail-oriented
Excellent communication skills
Enthusiasm and motivation essential; a confident change-agent; strong presentation skills (oral and written)
Ability to operate under tight deadlines
Successful track record in facilitating and consulting across teams and managing projects
Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need
Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Preferred
Master's Degree in Business Administration, Health Administration or a related field
Provider relations experience
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 a plus
Understanding of CMS Stars and performance measure knowledge and experience a plus
Background working in quality improvements
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Short-term and long-term disability
Life insurance
Many other opportunities
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (202)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
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