Associate Director – Formulary Operations Management

Humana

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

Posted 11/9/2026full-timeRemote • United StatesSenior💰 $126,300 - $173,700 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in formulary development, operational implementation, and compliance with regulatory requirements while leading high-performing teams and managing cross-functional initiatives. Strong analytical, problem-solving, and project management skills are essential for optimizing formulary operations and enhancing consumer experiences.

Highest-signal resume keywords

Formulary DevelopmentHealthcare ExperienceLeadership ExperienceData AnalysisProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Formulary OperationsUtilization ManagementData AnalysisRegulatory ComplianceProcess ImprovementAnalytical SkillsProblem SolvingProject LeadershipOperational ExcellenceQuality Management

Soft Skills

Communication SkillsOrganizational SkillsInfluencing SkillsCoaching SkillsTeam Leadership

Tools & Technologies

Microsoft ExcelMicrosoft PowerPointMicrosoft WordMicrosoft Teams

Industry Keywords

Pharmacy Benefit ManagementManaged CareHealth PlanPharmacy OperationsFormulary Compliance

About the role

Key responsibilities & impact

Lead formulary development and maintenance activities across applicable products and lines of business
Oversee operational implementation of formulary changes in coordination with clinical, configuration, product, and operational teams
Support development and execution of utilization management programs, including prior authorization, step therapy, quantity limits, and coverage
Evaluate formulary performance and operational impacts through data analysis and reporting
Ensure compliance with state, federal, and client formulary requirements
Develop and maintain policies, procedures, and supporting documentation for formulary operations
Partner with stakeholders on formulary submissions, audits, regulatory reviews, and implementations
Lead strategic projects related to formulary optimization, operational excellence, and process improvement
Lead, develop, and support a high-performing team through expectation-setting, coaching, career development, and accountability
Manage formulary operations workflow, quality, capacity, training, reporting, issue resolution, and people leadership
Work during standard Eastern Time business hours

Requirements

What you’ll need

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
Passion for contributing to an organization focused on continuously improving consumer experiences
Self-provided home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps
Work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information

Benefits

Comp & perks

Bonus incentive plan based on company and/or individual performance
Medical benefits
Dental benefits
Vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Dedicated work-from-home space
Remote work arrangement
Occasional travel to Humana offices for training or meetings