Formulary Operations Management Professional 2

🔥 24 minutes ago

🏄 California, Illinois, +2 more states – Remote

🏄 California – Remote 🌽 Illinois – Remote 🦬 Montana – Remote 🗿 South Dakota – Remote

💵 $65k - $88.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

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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

• provides operational leadership for build, maintenance, submission, and updating of formularies and drug lists • work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action • ensures accuracy of formularies and utilization management (UM) criteria in the Centralized Formulary System • collaborates with healthcare professionals, pharmacists, and other business functions to operationalize formularies • performs formulary analysis and reporting to ensure optimal operational flow • develops key performance indicators and plans to improve overall process improvements and efficiency • creates formulary management process and training documentation • understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas • makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and guidance where needed

🎯 Requirements

• Bachelor's degree • Less than 5 years of technical experience • Strong consultative skills and relationship building skills • Excellent written and verbal communication skills • Excellent planning and organizational skills • Prior demonstrated experience with process improvement or process design and implementation roles • Working knowledge of all Microsoft Office applications, including Word, Visio, Excel and Access • Ability to work on multiple projects • Ability to successfully handle change in a fast paced environment

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities