Associate Director, Pharmacy Hub Operations

humana; United States; On-site; USD 180,000 - 250,000; Full time

Job summary

Humana seeks an Associate Director of Mail Operations Pharmacy to lead patient and provider service across multiple channels, ensuring service quality, timeliness, and regulatory compliance.

This leader will establish the service operating model, staffing, training readiness, and performance routines, while partnering with Access, Clinical Operations, Implementation, Workforce Management, Quality, and external vendors.

Qualifications

• Licensed pharmacist with state licensure.
• Experience in healthcare contact centers or regulated services.
• Strong leadership and stakeholder management.

Responsibilities

• Build the Service Operations model, including channels, hours of operation, staffing structure, interaction types, call flows, queue design, escalation paths, and service standards.
• Partner with Implementation on requirements, workflow validation, user acceptance testing, training readiness, cutover, go-live, and hypercare; assume steady-state accountability after formal acceptance.
• Translate patient, provider, client, and program needs into scripts, interaction guidance, knowledge content, routing, and measurable service expectations.
• Establish launch staffing, nesting, proficiency, contingency, and escalation plans aligned to volume forecasts and program complexity.
• Lead patient and provider support across voice and digital channels, case follow-up, program education, refill coordination, status updates, outbound outreach, and service recovery.
• Own service level, speed to answer, abandonment, responsiveness, first-contact resolution, transfer rate, repeat contacts, quality, satisfaction, and complaint outcomes.

Skills

Licensed Pharmacist

Omnichannel leadership

Quality assurance

Education

Bachelor's degree or equivalent progressive experience in contact center, patient services, provider serv

Job description

Become a part of our caring community

The Associate Director, Mail Operations Pharmacy ensures adherence to quality assurance standards, accurate tracking techniques and a review process prior to shipping medications to patients. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates.

The Associate Director of Service Operations is responsible for building, launching, and leading the patient and provider service operation for the pharmacy hub. This leader owns the quality, timeliness, and consistency of inbound and outbound service across phone and digital channels, including patient support, provider support, case follow-up, status communications, refill and program coordination, service recovery, and complex issue resolution.

As a launch leader, the Associate Director will establish the service operating model, workforce practices, interaction standards, escalation pathways, and performance routines required to deliver a differentiated experience. The role partners closely with Access Operations, Clinical Operations, Implementation, Workforce Management, Quality, Training, Product, Technology, Analytics, Client Services, and external vendors.

The ideal candidate brings deep experience leading healthcare contact center, patient services, provider services, hub, PBM, specialty pharmacy, or other regulated service operations. Success requires strong omnichannel service leadership, disciplined workforce and performance management, and the ability to balance patient experience, client commitments, compliance, and cost to serve.

Key Responsibilities

Launch, Service Model & Readiness

• Build the Service Operations model, including channels, hours of operation, staffing structure, interaction types, call flows, queue design, escalation paths, and service standards.
• Partner with Implementation on requirements, workflow validation, user acceptance testing, training readiness, cutover, go-live, and hypercare; assume steady-state accountability after formal acceptance.
• Translate patient, provider, client, and program needs into scripts, interaction guidance, knowledge content, routing, and measurable service expectations.
• Establish launch staffing, nesting, proficiency, contingency, and escalation plans aligned to volume forecasts and program complexity.

Patient & Provider Service Performance

• Lead patient and provider support across voice and digital channels, case follow-up, program education, refill coordination, status updates, outbound outreach, and service recovery.
• Own service level, speed to answer, abandonment, responsiveness, first-contact resolution, transfer rate, repeat contacts, quality, satisfaction, and complaint outcomes.
• Implement daily operating routines for real-time management, queue balancing, schedule adherence, backlog control, escalations, and recovery planning.
• Use interaction and journey data to reduce effort, prevent avoidable contacts, improve resolution, and strengthen patient and provider trust.

Workforce, Quality & Coaching

• Recruit, develop, and retain managers, supervisors, team leads, service specialists, and resolution specialists as the organization scales.
• Partner with Workforce Management on forecasting, staffing, scheduling, shrinkage, intraday management, overtime, and capacity scenarios.
• Establish interaction quality standards, calibration, coaching, nesting, knowledge reinforcement, and performance accountability.
• Build a service culture that combines empathy, accuracy, ownership, compliance, and timely escalation.

Experience, Complaints & Resolution

• Establish clear complaint, grievance, escalation, service recovery, and executive case pathways with defined ownership and documentation standards.
• Monitor contact drivers, repeat contacts, transfer patterns, escalations, sentiment signals, and failure demand to identify systemic improvements.
• Coordinate complex resolutions across Access, Clinical, fulfillment, vendors, technology, and client teams.
• Ensure patient and provider communications are accurate, approved, accessible, and aligned with program requirements.

Cross-Functional & Client Partnership

• Represent Service Operations in launch governance, operating reviews, client discussions, and experience-design forums.
• Partner with Product and Technology on IVR, CRM, telephony, digital engagement, authentication, automation, and AI-enabled service capabilities.
• Coordinate with Access Operations and Clinical Operations to create clear handoffs and avoid duplicate work or fragmented ownership.
• Provide executive-level reporting on readiness, service performance, experience outcomes, capacity, risks, and corrective actions.

Use your skills to make an impact

Required Experience

• Licensed Pharmacist in the state(s) of practice
• Bachelor's degree or equivalent progressive experience in contact center, patient services, provider serv