Director, Key Cities Strategy and Operations
Takeaway.com
Formulary Operations Management Professional
Humana
full-time
Posted on:
Location Type: Hybrid
Location: 🇺🇸 United States
Visit company websiteSalary
💰 $65,000 - $88,600 per year
Job Level
Mid-LevelSenior
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
process improvementdocumentationclinical medication reviewprior authorization criteriakey performance indicatorsefficiency improvementpharmacy benefits managementhealth services experiencetechnical field experience
Soft skills
organizational skillswritten communicationverbal communicationindependent workteam collaborationgoal achievementdeadline management
Certifications
Bachelor's DegreeSix Sigma Green Belt
