Remote Associate Director, Formulary Operations Strategy

Humana; Austin (TX); Remote; USD 126,000 - 174,000; Full time

Benefits offered by this job

Health benefits

401(k) retirement plan

Paid time off

Job summary

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

You will partner with clinical, regulatory, analytics, and product teams to translate formulary strategy into operational excellence. The role oversees utilization management initiatives, regulatory submissions, and formulary implementation with a focus on compliant, member-centric outcomes.

Qualifications

• Bachelor's degree or 6+ years in healthcare, PBM, managed care, health plan, formulary, 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
• Strong organizational and project management skills
• Excellent verbal and written communication skills, including executive-level communication
• Proficiency with Microsoft Excel, PowerPoint, Word, and Teams
• Experience influencing organizational outcomes
• Passion for improving consumer experiences

Responsibilities

• Lead formulary development and maintenance across products and lines of business
• Oversee operational implementation of formulary changes with clinical, configuration, product, and operational teams
• Support utilization management program development and execution (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 for formulary 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 leadership

Analytical skills

Organizational skills

Executive communication

Excel

PowerPoint

Education

Bachelor's degree

6+ years healthcare/PBM/managed care experience

Tools

SQL

Power BI

Tableau

Job description

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

You will partner with clinical, regulatory, analytics, and product teams to translate formulary strategy into operational excellence. The role oversees utilization management initiatives, regulatory submissions, and formulary implementation with a focus on compliant, member-centric outcomes.