DescriptionThe Public Policy Lead develops and maintains policies and programs to ensure organizational awareness of legislation and/or regulatory issues that affect the organization. The Public Policy Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The Public Policy Lead analyzes technical legislation and regulatory proposals for the purposes of developing policy positioning; mitigation of compliance and reputational risks; and supporting both the business and public relations strategies. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.
The Public Policy Professional role resides in the Office of the Chief Pharmacy Officer and serves as a subject matter expert in pharmacy public policy working with both internal PBM business leaders within Humana Pharmacy Solutions (HPS) and with business units within the Humana enterprise including Corporate Affairs, and Retail and Employer Group business segments. The person in this position will evaluate and analyze proposed federal and state legislation and regulation to determine business impact and develop alternative policy proposals aligned with the business strategy. This associate will collaborate with national trade and professional organizations for analysis and strategy purposes and will report on current initiatives and collaborations and the impact to both Humana and Humana Pharmacy Solutions.
- Prepare key business leaders within the PBM departments on evolving public policy issues and for potential business actions or changes that may be needed to remain competitive or compliant
- Promote a sense of urgency and best course of action to address legislative and regulatory issues as they arise
- Provide regular reports and white papers to inform and educate senior leadership
- Drive action through influence, motivating others, and acting as a resource to develop talent and expertise in associates
- Collaborate with trade and professional associations to develop strategies to influence public policy at the state and federal level
- Doctorate of Pharmacy and/or Juris Doctor, OR equivalent professional pharmacy public policy advocacy experience with a Bachelor's degree in political science, health science, or related field
- 3-5 years of health plan, PBM, or pharmaceutical supply chain industry experience or;
- 3-5 years of experience working with a government health entity, specifically with experience working within the regulatory and legislative processes
- Experience in the evaluation of legislation and regulation impacting the administration and provision of pharmacy benefits
- Expertise in commercial pharmacy and Medicare Part D statues, regulations, and processes
- Advanced critical thinking skills and oral and written communication skills (a writing sample will be required)
- Demonstrative level of knowledge of the state and federal legislative and regulatory process
- Intermediate level of proficiency with MS Excel, Word and PowerPoint
Scheduled Weekly Hours40