Associate Director, Formulary Ops — Remote

Humana; Phoenix (AZ); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Health benefits and 401(k) plan

Paid time off and parental leave

Remote work option

Job summary

Humana, Inc. seeks an Associate Director of Formulary Operations Management to lead the development, implementation and governance of pharmacy formularies across lines of business.

You will collaborate with clinical, regulatory, analytics, and product teams to translate formulary strategy into operational excellence. The role emphasizes leadership, data-driven decision making, and strong stakeholder management, with responsibilities for utilization management and ensuring compliant, timely

Qualifications

• Bachelor's degree OR 6+ years of healthcare, PBM, managed care, health plan, formulary, pharmacy operations, or related experience.
• 2+ years of leadership, management, project leadership, or people leadership experience.
• Experience leading cross-functional initiatives with multiple stakeholders.
• Strong analytical and problem-solving skills.
• Strong organizational and project management skills.
• Excellent verbal and written communication, including executive-level.
• Proficiency with Microsoft Office (Excel, PowerPoint, Word, Teams).
• Experience with data analytics tools (SQL, Power BI, Tableau) and driving organizational outcomes.

Responsibilities

• Lead formulary development and maintenance across products and lines of business.
• Oversee operational implementation of formulary changes with clinical, configuration, product, and operational teams.
• Support utilization management programs including prior authorization and step therapy.
• Evaluate formulary performance through data analysis and reporting.
• Ensure compliance with state, federal, and client formulary requirements.
• Develop policies and documentation for formulary operations.
• Collaborate on regulatory submissions and audits; implement formulary strategies.
• Coach and develop a high-performing team and promote accountability.

Skills

Leadership

Project leadership

Cross-functional collaboration

Analytical thinking

Organizational skills

Executive communication

Microsoft Office (Excel, PowerPoint, 1

Education

Bachelor's degree or 6+ years healthcare/PBM experience

Tools

SQL

Power BI

Tableau

Excel

PowerPoint

Word

Teams

Job description

Humana, Inc. seeks an Associate Director of Formulary Operations Management to lead the development, implementation and governance of pharmacy formularies across lines of business.

You will collaborate with clinical, regulatory, analytics, and product teams to translate formulary strategy into operational excellence. The role emphasizes leadership, data-driven decision making, and strong stakeholder management, with responsibilities for utilization management and ensuring compliant, timely