Hybrid Formulary Operations Management Professional

Posted 4 weeks ago

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About the role

  • Be part of the Clinical Drug Policy Management team ensuring synchronization of formulary utilization management policies across multiple systems
  • Create and maintain clinical tools to facilitate clinical medication review decision making
  • Operationalize prior authorization criteria into Humana systems in alignment with Humana’s Pharmacy and Therapeutics Committee
  • Develop key performance indicators and plans to improve overall process improvements and efficiency
  • Make decisions regarding own work methods with minimal direction

Requirements

  • Bachelor’s Degree or equivalent experience in a healthcare setting
  • Working knowledge of all Microsoft Office applications, including Word, Access, and Excel
  • Strong organizational skills
  • Strong written and verbal communication skills
  • Works well independently and within a team setting to achieve goals and meet deadlines
  • Prior demonstrated experience with process improvement and documentation
  • Proficiency in Power Platform, Power BI, Power Apps
  • Six Sigma Green belt certification
  • Three years’ experience in pharmacy benefits management
  • Three years of experience in a health services or technical field

Benefits

  • 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
  • many other opportunities

Job title

Formulary Operations Management Professional

Job type

Experience level

Mid levelSenior

Salary

$65,000 - $88,600 per year

Degree requirement

Bachelor's Degree

Location requirements

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