Remote: Associate Director, Formulary Operations

309 Humana Pharmacy Solutions, Inc.; United States; Remote; USD 126,000 - 174,000; Full time

Job summary

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

You will partner with clinical, regulatory, analytics, and product teams to ensure formulary decisions are accurate, compliant, and aligned with organizational goals. This role leads formulary operations, utilization management initiatives, and regulatory submissions while ensuring a high-performing team operates with

Qualifications

• Bachelor's degree or 6+ years in healthcare, PBM, managed care, or related field.
• 2+ years of leadership, management, or people leadership experience.
• Experience leading cross-functional initiatives with multiple stakeholders.
• Strong analytical, organizational, and project management skills.
• Excellent verbal and written communication, including executive-level language.
• Proficiency with Microsoft Office applications (Excel, PowerPoint, Word, Teams).

Responsibilities

• Lead formulary development and maintenance across products and lines of business.
• Oversee implementation of formulary changes with cross-functional teams.
• Support utilization management programs (prior authorization, step therapy, coverage).
• Evaluate formulary performance through data analysis and reporting.
• Ensure compliance with state, federal, and client requirements.
• Develop policies and documentation for formulary operations.
• Partner on submissions, audits, regulatory reviews, and implementations.
• Lead strategic projects for optimization and process improvement.
• Develop and mentor a high-performing team with clear expectations.

Skills

Leadership

Cross-functional collaboration

Analytical skills

Project management

Communication

Education

Bachelor's degree

Tools

Excel

PowerPoint

Word

Teams

Job description

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

You will partner with clinical, regulatory, analytics, and product teams to ensure formulary decisions are accurate, compliant, and aligned with organizational goals. This role leads formulary operations, utilization management initiatives, and regulatory submissions while ensuring a high-performing team operates with