Senior Associate Director, Formulary Operations (Remote)

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

Benefits offered by this job

Bonus opportunities

Remote/Hybrid work

Competitive benefits

Job summary

Humana seeks an Associate Director, Formulary Operations Management to lead the development and governance of pharmacy formularies and utilization strategies across business lines. You will partner with clinical, operational, regulatory, analytics, and product teams to ensure compliant formulary implementations aligned with organizational goals.

You will oversee operations, training, and reporting while driving continuous improvement and leading a high-performing team within Eastern Time

Qualifications

• Bachelor's degree required; 6+ years in healthcare/PBM/managed care/pharmacy operations.
• 2+ years in leadership or people leadership roles.
• Experience leading cross-functional initiatives with multiple stakeholders.
• Strong analytical, organizational, and project management skills.
• Excellent verbal and written communication, including executive-level.
• Proficient in MS Office (Excel/PowerPoint/Word/Teams).

Responsibilities

• Lead formulary development across products and lines of business.
• Oversee operational implementation of formulary changes with clinical, configuration, product, and operational teams.
• Develop and execute utilization management programs (prior authorization, step therapy, etc.).
• Evaluate formulary performance using data analysis and reporting.
• Ensure compliance with state, federal, and client requirements.
• Lead strategic projects on formulary optimization and process improvement.
• Coach and develop a high-performing team and drive accountability.

Skills

Leadership

Cross-functional

Analytical skills

Project management

Communication skills

Executive communication

Problem solving

Influence & outcomes

Education

Bachelor's degree

Master's degree (Preferred)

Tools

SQL

Power BI

Tableau

Excel

Job description

Humana seeks an Associate Director, Formulary Operations Management to lead the development and governance of pharmacy formularies and utilization strategies across business lines. You will partner with clinical, operational, regulatory, analytics, and product teams to ensure compliant formulary implementations aligned with organizational goals.

You will oversee operations, training, and reporting while driving continuous improvement and leading a high-performing team within Eastern Time