Become a part of our caring community and help us put health first
 The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve health outcomes. The Formulary Strategy Pharmacist Lead work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Formulary Strategy Pharmacist Lead uses clinical and financial data driven methods to develop and influence formulary strategies for Humana's Medicare line of business.

Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support the development of formulary strategies to mitigate Humana’s costs and trend while improving our member’s health outcomes and costs.Help facilitate and provide transparency to informed formulary decisions made consistent with our formulary guiding principles and enterprise objectives.Translates information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies.Works across multiple departments to support formulary strategy development and decisions. Works with appropriate business partners to ensure accurate and timely implementation of formulary decisions.Leverages market trends and competitive intel insights to support the development of formulary strategies.Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
Use your skills to make an impact
 

Required Qualifications:

Pharmacy Degree from an accredited School of Pharmacy3+ years of clinical experience in managed care or other pharmacy related fieldExperience in Formulary strategy/development and CMS Part D guidanceExperience in analysis and problem-solvingExcellent oral and written communication skills, previous experience presenting and interacting with senior leadershipFlexible, dynamic personality who works well in a team environment and has expertise in working collaboratively and communicating with staff in different positions and all levels of management positions.Ability to prioritize, organizes, and executes effective time managementAbility to assimilate, analyze, draw conclusions, and make recommendations from complex dataAbility to work in either a team or an individual capacity to achieve goals and meet deadlinesSuccessful track record in facilitating and consulting across teams and managing projectsThrives in a fast paced, multi-project work environment while still ensuring attention to detailProficiency in Microsoft Word, Excel, & PowerPoint

Preferred Qualifications:

MBABPS Board Certification (any BPS certification)Pharmacy practice residency or similar pharmacy practice experienceExperience in finance and/or business-related pharmacy practice

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$126,300 - $173,700 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 08-28-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.