Medicare Formulary Strategy Pharmacist Lead

Become a part of our caring community 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 make informed formulary decisions 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. Use your skills to make an impact Required Qualifications: Pharmacy Degree from an accredited School of Pharmacy Minimum of 3+ years of experience in managed care, health plan pharmacy, PBM, or related pharmacy environment Demonstrated knowledge of Medicare Part D (formularies, benefit design, regulatory considerations) Strong analytical and problem-solving skills, with the ability to evaluate complex data and make sound, timely decisions Demonstrated ability to synthesize detailed data into actionable insights while maintaining a clear understanding of broader strategic objectives Proven ability to communicate effectively across audiences, including developing and delivering presentations to senior/executive leadership Excellent written and verbal communication skills, with the ability to clearly articulate formulary strategy and rationale Strong collaboration skills, with a track record of influencing and consulting across cross-functional teams Demonstrated project management capabilities, including prioritization, organization, and execution in a fast-paced environment Self-motivated and adaptable, with the ability to work independently and within a team to meet deadlines and achieve goals Advanced proficiency in Microsoft Excel and PowerPoint, including the ability to analyze large datasets and translate findings into clear, actionable presentations Preferred Qualifications: MBA or other advanced business-related degree BPS Board Certification Completion of a pharmacy residency or equivalent advanced practice experience Direct experience with formulary development, strategy, or management in a health plan or PBM setting Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

• ability, life insurance and many other opportunities. Application Deadline: 06-11-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U. S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

• ability 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 dis
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