Remote Associate Director, Formulary Operations

Humana, Inc.; Jackson (MS); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking an Associate Director of Formulary Operations Management to lead formulary development, governance, and utilization management across lines of business.

The role partners with clinical, regulatory, analytics, and product teams to translate strategy into operational excellence. This remote position requires strong leadership, cross-functional collaboration, and data-driven decision making to ensure regulatory compliance and member-focused outcomes.

Qualifications

• Bachelor's degree required.
• 6+ years in healthcare, PBM, or formulary operations.
• 2+ years of leadership or people leadership experience.
• Experience leading cross-functional initiatives with multiple stakeholders.
• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication, including executive level.
• Proficient in Microsoft Office applications (Excel/PowerPoint/Word/Teams).

Responsibilities

• Lead formulary development and maintenance across products and lines of business.
• Oversee operational implementation of formulary changes with clinical, configuration, and product teams.
• Support utilization management programs (prior authorization, step therapy, quantity limits, coverage).
• Evaluate formulary performance and operational impacts via data analysis and reporting.
• Ensure compliance with state, federal, and client formulary requirements.
• Develop and maintain policies, procedures, and documentation for formulary operations.
• Partner with stakeholders on formulary submissions, audits, regulatory reviews, and implementations.
• Lead strategic projects on formulary optimization and process improvement.
• Lead and develop a high-performing team with clear expectations and accountability.

Skills

Leadership

Cross-functional leadership

Analytical skills

Project management

Executive communication

Problem solving

Regulatory knowledge

Education

Bachelor's degree

Master's degree

Tools

Excel

PowerPoint

Word

Teams

Job description

Humana, Inc. is seeking an Associate Director of Formulary Operations Management to lead formulary development, governance, and utilization management across lines of business.

The role partners with clinical, regulatory, analytics, and product teams to translate strategy into operational excellence. This remote position requires strong leadership, cross-functional collaboration, and data-driven decision making to ensure regulatory compliance and member-focused outcomes.