Experience Inc. Jobs

Job Information

Humana Program Manager, OTC Formulary in Aberdeen, South Dakota

Description

The Program Manager, OTC Formulary will work closely with Pharmacy Procurement, Operations and Consumer Experience groups to ensure the proper mix of OTC products, identify trends, monitor product eligibility for OTC benefit programs and verify that product quality does not negatively impact the member experience or plan costs.

Responsibilities

The Program Manager - OTC Formulary owns the development of an over-the-counter product offering that balances product quality with program cost for the OTC line of business. The Program Manager, OTC Formulary will work closely with Pharmacy Procurement, Distribution, Inventory and Consumer Experience groups to ensure the proper mix of OTC products, identify trends, monitor product eligibility, generate volume projections for OTC benefit programs and verify that product quality does not negatively impact the member experience or plan costs.

Responsibilities

This senior level Formulary Professional owns the development of an over-the-counter formulary that balances product quality with program cost for the OTC line of business.

Responsibilities

  • Use market and industry knowledge to lead the development of an OTC benefit product offering that adheres to CMS guidelines for OTC benefit programs

  • Provide annual and quarterly OTC item volume projections to procurement and inventory

  • Work with supply chain partners to identify superior quality products that will help reduce overall costs of the OTC benefit program to internal and external clients

  • Facilitate product reviews with Professional Practice, Clinical Services, Compliance and Legal teams.

  • Identify Rx-to-OTC switches beneficial to target member demographics

  • Develop, socialize and manage product suggestion intake process

  • Partner with Drug File Team to establish a product quality review process for OTC medications as well as well-being products

  • Develop reports and dashboards to monitor member feedback and track return reasons

  • Work with OTC account manager to identify client's OTC product requests, product quality pain points

  • Monitor program costs and recommend areas of improvement

  • Work with OTC Consumer Experience leader to identify product offering gaps

  • Oversee manufacturer relations

Required Qualifications

  • Bachelor's Degree or equivalent experience

  • Pharmacy industry knowledge

  • Experience in a supply chain, distribution, procurement or inventory management role

  • Research and strategic analysis skills

  • Strong interpersonal and leadership skills

  • Excellent written, verbal, and presentation communication skills

  • Proficiency in Microsoft Office products including Word, Excel and PowerPoint

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

  • Associates working in the state of Arizona must comply with the Tobacco Free Hiring Policy and upon offer will be subjected to nicotine testing as part of a 10-panel drug test

Preferred Qualifications

  • Master's Degree

  • OTC or Rx Formulary management experience

  • OTC program experience

  • Manufacturer relations experience

  • Experience in a product management role

  • Relationship management skills

Additional Information

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

If you are selected for a first round interview, you will receive an email correspondence inviting you to participate in a Modern Hire voice interview. In this interview, you will listen to a set of interview questions over your phone and you will provide recorded responses to each question. You should anticipate this interview to take about 15 minutes. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

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