Remote Associate Director, Formulary Operations

Humana, Inc.; Olympia (WA); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

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

This role collaborates with clinical, regulatory, analytics, and product teams to ensure compliant, effective formulary decisions and operational excellence. The position emphasizes leadership of formulary operations, with focus on utilization management, regulatory submissions, and stakeholder alignment to member

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 involving multiple stakeholders.
• Strong analytical and problem-solving skills.
• Excellent verbal and written communication, including executive-level communication.
• Comprehensive knowledge of Microsoft Office applications (Excel, PowerPoint, Word, Teams).
• Demonstrated ability to influence and drive organizational outcomes.

Responsibilities

• Lead formulary development and maintenance activities across applicable products and lines of business.
• Oversee operational implementation of formulary changes with clinical, configuration, product, and operational teams.
• Support development and execution of utilization management programs (prior authorization, step therapy, quantity limits, coverage).
• Evaluate formulary performance and operational impacts through 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 cross-functional stakeholders to support formulary submissions, audits, regulatory reviews, and implementations.
• Lead strategic projects related to formulary optimization and process improvement.
• Lead, develop, and support a high-performing team with coaching and accountability.

Skills

Leadership

Analytical skills

Project management

Executive communication

Microsoft Office

Cross-functional collaboration

Education

Bachelor's degree or equivalent

Master's degree in healthcare administration or related field

Tools

SQL

Power BI

Tableau

Excel

Teams

Job description

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

This role collaborates with clinical, regulatory, analytics, and product teams to ensure compliant, effective formulary decisions and operational excellence. The position emphasizes leadership of formulary operations, with focus on utilization management, regulatory submissions, and stakeholder alignment to member