Remote Formulary Operations Leader

Humana, Inc.; Atlanta (GA); Remote; USD 126,000 - 174,000; Full time

Job summary

Humana, Inc. is seeking an Associate Director of Formulary Operations Management to develop, implement, and govern pharmacy formularies across lines of business.

You will partner with clinical, regulatory, analytics, and product teams to ensure compliant, high‑impact formulary decisions and operational excellence. You will lead a team through strategic initiatives, utilization management programs, and regulatory submissions while aligning with business goals and member needs.

Qualifications

• Bachelor's degree or 6+ years of healthcare, PBM, managed care, or related experience.
• 2+ years of leadership, management, or people leadership experience.
• Experience leading cross-functional initiatives with multiple stakeholders.
• Strong analytical and problem-solving skills.
• Excellent organizational and project management skills.
• Able to manage multiple priorities in a fast-paced environment.
• Executive communication skills, including stakeholder updates.
• Proficiency with Microsoft Office applications (Excel, PowerPoint, Word, Teams).
• Experience influencing organizational outcomes and driving improvements.

Responsibilities

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

Skills

Leadership

Cross-functional collaboration

Analytical thinking

Project management

Executive communication

Microsoft Office (Excel/PowerPoint/To/

Education

Bachelor's degree or 6+ years in related field

Tools

SQL

Power BI

Tableau

Job description

Humana, Inc. is seeking an Associate Director of Formulary Operations Management to develop, implement, and govern pharmacy formularies across lines of business.

You will partner with clinical, regulatory, analytics, and product teams to ensure compliant, high‑impact formulary decisions and operational excellence. You will lead a team through strategic initiatives, utilization management programs, and regulatory submissions while aligning with business goals and member needs.