Formulary Operations Management Advisor

  • Share :

Become a part of our caring community and help us put health first

The Formulary Operations Management Advisor provides leadership and oversight of the operational build and maintenance of the clinical policies. The Formulary Operations Management Advisor works on problems of diverse scope and complexity ranging from moderate to substantial and has moderate to substantial influence over the processes related to these builds.

The Formulary Operations Management Advisor is accountable for the accurate build of plans, question sets and rules in the PAHub System. Leads groups of healthcare professionals, pharmacists, and other business functions to making decisions about PAHub builds. Establishes strong relationships with stakeholders and collaborates to develop solutions. Performs data analysis and reporting to ensure optimal operational flow and quality. Develops key performance indicators and plans to improve overall process and efficiency. Leads the development of processes and training documentation. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding team, job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Use your skills to make an impact

Required Qualifications

  • Bachelor's degree or equivalent experience in healthcare leadership

  • 8 or more years of technical experience

  • 2 or more years of project leadership experience

  • Ability to manage multiple tasks and deadlines with attention to detail

  • Ability to communicate effectively and deliver presentations to Humana leadership

  • Able to give direction and make sound business decisions

  • Leadership experience as a supervisor, manager or associate director

  • Experience with driving engagement and promoting a positive business culture

  • Proficiency in Microsoft Word, Excel, PowerPoint & Outlook

  • Strong problem solving, critical thinking and analytical skills

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Process Improvement skills

  • Project Management skills

  • Advanced Degree

  • Lean/Six Sigma (or other quality/process program) experience

Additional Information:

Interview Format: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home Requirements:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday. com with instructions on how to add the information into your official application on Humana's secure website.

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.

$93,000 - $128,000 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.

About us

About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

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 veteran stat.

Read the full job description and apply online on the recuiter's web-site

Find Jobs Hiring Now Near You!

Get Jobilize Mobile App

Get Jobilize Job Search Mobile App Now

Receive real-time job alerts and never miss the right job again

Get it on Google Play Download on the App Store
LMHT Virtual

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Mental Health Therapist (LMHT) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc

  • US - DE - DE - Kenton

  • October 28, 2024


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


LMFT Remote

Headway


Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 an hour Are you a Licensed Marriage and Family Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health...


Licensed Clinical Psychologist

Headway


Remote Licensed Clinical Psychologist Wage: Between $90-$174 an hour Are you a Licensed Clinical Psychologist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the...


LPC Remote

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Professional Counselor (LPC) Wage: Between $90-$127 an hour Are you a Licensed Professional Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...


Licensed Mental Health Therapist

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Mental Health Therapist (LMHT) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians...


LCP Remote

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Clinical Psychologist Wage: Between $90-$174 an hour Are you a Licensed Clinical Psychologist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


LP Remote

Headway


Remote Licensed Psychiatrist Wage: Between $119-$239 an hour Are you a licensed Psychiatrist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our...


LP Virtual

Headway


Remote Licensed Psychiatrist Wage: Between $119-$239 an hour Are you a licensed Psychiatrist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our...


LCSW Virtual

Headway


Remote Licensed Clinical Social Worker (LCSW) Wage: Between $90-$127 an hour Are you a Licensed Clinical Social Worker looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across...


Travel Speech Language Pathologist 2,826 per week

Agile 24 Healthcare

  • US - DE - DE - Seaford

  • October 30, 2024


Agile 24 Healthcare is seeking a travel Speech Language Pathologist for a travel job in Seaford, Delaware. & Requirements • Specialty: Speech Language Pathologist • Discipline: Therapy • Duration: 8 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Agile 24 Healthcare...


Licensed Marriage and Family Therapist

Headway


Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 an hour Are you a Licensed Marriage and Family Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health...


Local Contract Physiologist 65-69 per hour

Tact Staff

  • US - DE - DE - Wyoming

  • October 31, 2024


Tact Staff is seeking a local contract Physiologist for a local contract job in Wyoming, Delaware. & Requirements • Specialty: • Physiologist • Discipline: • Allied Health Professional • Start Date: • 11/01/2024 • Duration: • 26 weeks • 37. 5 hours per week • Shift: • 8 hours, days • Employment...


Travel Physical Therapy Assistant 1,750 per week

Agile 24 Healthcare

  • US - DE - DE - Milford

  • October 28, 2024


Agile 24 Healthcare is seeking a travel Physical Therapy Assistant for a travel job in Milford, Delaware. & Requirements • Specialty: Physical Therapy Assistant • Discipline: Therapy • Duration: 8 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Agile 24 Healthcare urgently...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc

  • US - DE - DE - Rockland

  • October 28, 2024


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc

  • US - DE - DE - Clayton

  • October 28, 2024


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


Licensed Clinical Psychologist Virtual

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Clinical Psychologist Wage: Between $90-$174 an hour Are you a Licensed Clinical Psychologist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the...


Seasonal Support Driver

UPS

  • US - DE - DE - Newark

  • October 30, 2024


SHIFT YOUR FUTURE Seasonal Support Driver SHIFT YOUR TEAM Who exactly are UPS Seasonal Support Drivers? As a Seasonal Support Driver you'll deliver packages throughout their communities, connecting with customers along the way while driving their own vehicle. This is a friendly, physically active...


Licensed Mental Health Counselor

Headway


Remote Licensed Mental Health Counselor (LMHC) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians...


Licensed Mental Health Counselor Virtual

Headway


Remote Licensed Mental Health Counselor (LMHC) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Counselor looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians...


Work Remotely Workers Comp Attorney Needed to Join Great Team

Michael Sullivan and Assoc


Are you a Workers' Comp Attorney seeking to telework?Michael Sullivan & Associates is looking for exceptional people to join our team and help grow our practice. Our firm is committed to providing a supportive work environment, where collaboration is encouraged and success is recognized and...


LMFT Virtual

Headway


Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 an hour Are you a Licensed Marriage and Family Therapist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health...


LP Virtual

Headway

  • US - DE - DE - Dover

  • October 27, 2024


Remote Licensed Psychiatrist Wage: Between $119-$239 an hour Are you a licensed Psychiatrist looking to launch a private practice, or grow your existing practice? Headway can help you earn more through insurance! Headway supports thousands of mental health clinicians across the United States in our...


Travel Speech Language Pathologist 2,298 per week

AHS Staffing

  • US - DE - DE - Seaford

  • October 28, 2024


AHS Staffing is seeking a travel Speech Language Pathologist for a travel job in Seaford, Delaware. & Requirements • Specialty: • Speech Language Pathologist • Discipline: • Therapy • Duration: • 13 weeks • 40 hours per week • Shift: • 8 hours, days • Employment Type: • Travel AHS Staffing Job ID...