Humana Program Manager, OTC Formulary in Troy, Michigan
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.
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.
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.
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
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
OTC or Rx Formulary management experience
OTC program experience
Manufacturer relations experience
Experience in a product management role
Relationship management skills
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
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