Director, State Public Policy – Pharmacy, Pharmacy Benefit Management

🕒 May 22

🇺🇸 United States – Remote

💵 $168k - $231k / year

⏰ Full Time

🔴 Lead

💊 Pharmacist

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ Healthcare Insurance

Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Responsible for state policy portfolio including pharmacist licensure, pharmacy shares services, PBM, occupational/facility licensure, and federal preemption. • Analyze, define and communicate critical trends in state legislative and regulatory environments; track state legislation of interest; identify or predict probable legislative or regulatory outcomes. • Develop regulatory and legislative responses to proposed rules/laws including regulatory comment letters, issue briefs, talking points, white papers, and PowerPoint presentations. • Counsel Humana businesses on state public policy risks/opportunities and translating those into clear business impact analysis. • Work with internal business partners to identify assets Humana has to augment public policy positions such as: data; resources; subject matter experts; and 'thought leaders'. • Leverage experience and relationships to support advocacy efforts with state government officials and regulators with specific focus on state boards of pharmacies and National Association of Boards of Pharmacy.

🎯 Requirements

• Bachelor's degree (advanced degree preferred) • 8+ years in state healthcare policy • 5+ years leading policy development and advocacy deliverables with measurable impact • Experience managing consultants/vendors with defined performance metrics and delivery timelines • Track record of producing policy analyses and written materials used in advocacy efforts • Working knowledge of pharmacy and PBM policy, including applicable state and federal regulations • Demonstrated ability to translate complex policy into actionable business recommendations • Experience influencing cross-functional stakeholders in matrixed organizations to achieve defined objectives • Strong written and verbal communication skills, including regular presentations to executive leadership and external stakeholders • Proven ability to build and sustain strategic relationships with measurable outcomes (e.g., partnerships, policy influence) • Demonstrated success delivering against defined goals, KPIs, or performance metrics

🏖️ 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 and many other opportunities