Pharmacy Stars Improvement Lead

📋 Description

• • As a Pharmacy Stars Improvement Lead at Humana Inc., you will be at the forefront of enhancing Medicare member health outcomes by driving performance in crucial patient safety measures. This role is integral to the collaborative Pharmacy Stars team, dedicated to optimizing medication adherence and appropriate medication use.
• • You will autonomously develop, implement, and manage innovative clinical program strategies, with a particular emphasis on leveraging telehealth and in-home care delivery methods to reach and support our members effectively.
• • This position requires a high degree of independent judgment and decision-making, particularly when navigating complex issues related to job duties and strategic initiatives. You will operate with minimal supervision, analyzing a wide range of variable factors to determine and execute the most effective course of action.
• • Your responsibilities will include identifying opportunities for improvement within our pharmacy programs, designing interventions, and overseeing their successful implementation and ongoing management.
• • You will be expected to analyze performance data, identify trends, and pinpoint gaps in care, translating these insights into actionable strategies that align with Humana's commitment to putting health first.
• • A key aspect of this role involves acting as a confident change-agent, championing new approaches and fostering a culture of continuous improvement across relevant teams.
• • You will collaborate closely with cross-functional teams, including clinical, operational, and data analytics departments, to ensure program alignment and maximize impact.
• • Developing and delivering compelling presentations to stakeholders, communicating program strategies, progress, and outcomes, will be a critical part of your role.
• • You will manage multiple projects simultaneously, ensuring they are delivered on time and within scope, often under tight deadlines and in dynamic environments.
• • The ability to quickly assimilate complex information, analyze data from various sources, draw meaningful conclusions, and formulate data-driven recommendations is essential.
• • You will be responsible for understanding the nuances of Medicare regulations and Stars performance measures, and how they impact patient care and program strategy.
• • This role demands a proactive approach to problem-solving, the ability to work effectively with ambiguity, and the capacity to make sound, complex decisions to meet evolving business needs.
• • You will contribute to the overall strategic direction of the Pharmacy Stars program, ensuring its alignment with Humana's broader mission and goals.
• • By focusing on telehealth and in-home care, you will play a vital role in making healthcare more accessible and convenient for Medicare beneficiaries, particularly those who may face barriers to traditional in-person care.
• • Your work will directly contribute to improving the quality of life for millions of people by ensuring they receive the appropriate medications and adhere to their treatment plans, leading to better health outcomes and a higher quality of care.
• • You will be empowered to take ownership of your work, drive initiatives forward, and make a tangible difference in the lives of Humana's members.
• • This role offers a unique opportunity to blend clinical understanding with strategic program management, making a significant impact on a national scale within a leading healthcare organization.
• • You will be expected to stay abreast of industry best practices, emerging trends in healthcare delivery, and advancements in pharmacy care management to continuously refine program strategies.
• • The ability to build strong relationships with internal stakeholders and external partners will be crucial for the success of your initiatives.
• • Ultimately, you will be a key driver in Humana's mission to help people achieve their best health.