Associate Director, Formulary Operations Management

# Associate Director, Formulary Operations Management United States2 hours agoID  Salary## Details

Employment type:

Full-time Remote:
Yes Salary from:
126,300

Salary to:
173,700

Company:
Humana## Description Become a part of our caring community    The Associate Director, Formulary Operations Management is responsible for the development, implementation, maintenance, and governance of pharmacy formularies and utilization management strategies across lines of business. This role partners with clinical, operational, regulatory, analytics, and product teams to ensure formulary decisions are accurately implemented, compliant with regulatory requirements, and aligned with organizational goals.
The Associate Director, Formulary Operations Management requires a solid understanding of how organizational capabilities interrelate across departments and serves as a key leader in translating formulary strategy into operational excellence. The Associate Director, Formulary Management leads formulary operations implementation and maintenance activities, ensuring alignment with regulatory requirements, business objectives, and member needs.
This role collaborates with internal and external stakeholders to implement formulary strategies, oversee utilization management initiatives, support regulatory submissions, and ensure accurate implementation of formulary and coverage decisions. Associate Director is accountable for formulary operations workflow, quality, capacity, training, reporting, issue resolution, and people leadership.
This role will work during standard Eastern Time business hours.

Key Responsibilities:

• Lead formulary development and maintenance activities across applicable products and lines of business.

• Oversee operational implementation of formulary changes, including coordination with clinical, configuration, product, and operational teams.

• Support the development and execution of utilization management programs, including, but not limited to, prior authorization, step therapy, quantity limits, and coverage    
• Evaluate formulary performance and operational impacts through data analysis and reporting.

• Ensure compliance with applicable state, federal, and client formulary requirements.

• Develop and maintain policies, procedures, and supporting documentation for formulary operations.

• Partner with cross-functional stakeholders to support formulary submissions, audits, regulatory reviews, and implementations.

• Lead strategic projects and initiatives related to formulary optimization, operational excellence, and process improvement.

• Lead, develop, and support a high-performing team by setting clear expectations, coaching associates, supporting career development, and fostering accountability, engagement, and collective success.
Use your skills to make an impact    

Required Qualifications    
• Bachelor's degree    
• 6 or more years of healthcare, pharmacy benefit management (PBM), managed care, health plan, formulary, pharmacy operations, or related experience    
• 2 or more 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    
• Ability to manage multiple priorities and deadlines in a fast-paced environment    
• Excellent verbal and written communication skills, including executive-level communication    
• Comprehensive knowledge of Microsoft Office applications, including Excel, PowerPoint, Word, and Teams    
• Demonstrated ability to influence and drive organizational outcomes    
• Strong problem solving, critical thinking and analytical skills    
• Must be passionate…