Associate Director, Formulary Operations – Remote

Humana, Inc.; Madison (WI); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Bonus eligibility

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off

Disability insurance

Life insurance

Job summary

Humana, Inc. is seeking an Associate Director, Formulary Operations Management to lead formulary development, governance, and utilization management across lines of business, partnering with clinical, regulatory, analytics, and product teams to implement decisions.

You will oversee operations, ensure regulatory compliance, drive strategic projects, and lead a high-performing team with responsibilities including training, reporting, and stakeholder collaboration.

Qualifications

• Bachelor's degree OR 6+ years of healthcare, PBM, managed care, or related experience
• 2+ years of leadership or people leadership experience
• Experience leading cross-functional initiatives with multiple stakeholders
• Strong analytical and problem-solving skills
• Organizational and project management skills
• Ability to manage multiple priorities in a fast-paced environment
• Excellent verbal and written communication, including executive-level communication
• Knowledge of Microsoft Office (Excel, PowerPoint, Word, Teams)
• Demonstrated ability to influence and drive organizational outcomes
• Passion for consumer-focused improvement

Responsibilities

• Lead formulary development and maintenance across products and lines of business
• Oversee operational implementation of formulary changes with clinical and product teams
• Support utilization management program development and execution
• Evaluate formulary performance via data analysis and reporting
• Ensure compliance with state, federal, and client formulary requirements
• Develop and maintain policies and procedures for formulary operations
• Collaborate with stakeholders on submissions, audits, and regulatory reviews
• Lead strategic projects for formulary optimization and process improvement
• Lead and develop a high-performing team and foster accountability

Skills

Leadership/management

Cross-functional collaboration

Analytical thinking

Executive communication

Project management

Regulatory compliance

Healthcare/pbm knowledge

MS Office (Excel/PowerPoint/Word/Teams

Education

Bachelor's degree

6+ years healthcare/PBM experience

Tools

SQL

Power BI

Tableau

Excel

PowerPoint

Word

Teams

Job description

Humana, Inc. is seeking an Associate Director, Formulary Operations Management to lead formulary development, governance, and utilization management across lines of business, partnering with clinical, regulatory, analytics, and product teams to implement decisions.

You will oversee operations, ensure regulatory compliance, drive strategic projects, and lead a high-performing team with responsibilities including training, reporting, and stakeholder collaboration.