Remote Associate Director, Formulary Operations

Bazeta; United States; Remote; USD 126,000 - 174,000; Full time

Job summary

Humana is seeking an Associate Director of Formulary Operations Management in the United States. This role develops, implements, maintains, and governs pharmacy formularies and utilization management strategies across lines of business, partnering with clinical, regulatory, analytics, and product teams to ensure compliant and effective formulary decisions.

The position requires leadership to translate formulary strategy into operational excellence, oversee operations, and drive improvements.

Qualifications

• Bachelor's degree in healthcare or related field.
• 6+ years in healthcare/PBM/managed care.
• 2+ years of leadership experience.
• Strong analytical and problem-solving skills.
• Excellent executive-level communication.

Responsibilities

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

Skills

Leadership

Cross-functional collaboration

Analytical thinking

Project management

Executive communication

Stakeholder management

Education

Bachelor's degree

Master's degree (preferred)

Tools

SQL

Power BI

Tableau

Excel

Job description

Humana is seeking an Associate Director of Formulary Operations Management in the United States. This role develops, implements, maintains, and governs pharmacy formularies and utilization management strategies across lines of business, partnering with clinical, regulatory, analytics, and product teams to ensure compliant and effective formulary decisions.

The position requires leadership to translate formulary strategy into operational excellence, oversee operations, and drive improvements.