Director, State Public Policy for Pharmacy and Pharmacy Benefit Management

Reposted Yesterday
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Hiring Remotely in United States
Remote
168K-231K Annually
Senior level
Healthtech
The Role
The Director oversees and develops state-level pharmacy policy, driving advocacy efforts and cross-functional collaboration to influence legislative outcomes and support Humana's business objectives.
Summary Generated by Built In
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The Director, State Public Policy, within Humana’s Government Affairs team, is responsible for shaping and executing state-level policy strategy, with a primary focus on pharmacy-related issues, including pharmacist licensure, pharmacy shared services, pharmacy benefit management (PBM), occupational and facility licensure, and federal preemption.
Reporting to the Vice President, Strategy & State Affairs, this role leads the development of state pharmacy policy, supports and informs advocacy efforts, and provides strategic guidance on legislative and regulatory developments affecting Humana’s business.
As an individual contributor, the Director plays a key role in advancing enterprise-wide policy positioning, strengthening advocacy effectiveness, and delivering measurable business outcomes. The position also oversees the work of two external consultants, ensuring alignment with Humana’s strategic priorities and successful execution of policy initiatives.
This role requires strong cross-functional collaboration with State Affairs, Federal Policy, and business teams to translate policy changes into actionable strategies, mitigate risk, and identify opportunities for growth, while maintaining accountability for influencing internal stakeholders and managing external partner performance.

Key Responsibilities

  • Responsible for state policy portfolio including pharmacist licensure, pharmacy shares services, PBM, occupational/facility licensure, and federal preemption.
  • Analyze, define and communicate critical trends in state legislative and regulatory environments; track state legislation of interest; identify or predict probable legislative or regulatory outcomes.
  • Develop regulatory and legislative responses to proposed rules/laws including regulatory comment letters, issue briefs, talking points, white papers, and PowerPoint presentations.
  • Counsel Humana businesses on state public policy risks/opportunities and translating those into clear business impact analysis.
  • Work with internal business partners to identify assets Humana has to augment public policy positions such as: data; resources; subject matter experts; and "thought leaders".
  • Leverage experience and relationships to support advocacy efforts with state government officials and regulators with specific focus on state boards of pharmacies and National Association of Boards of Pharmacy.

Use your skills to make an impact
 

Required Qualifications

  • Bachelor's degree (advanced degree preferred)
  • 8+ years in state healthcare policy
  • 5+ years leading policy development and advocacy deliverables with measurable impac
  • Experience managing consultants/vendors with defined performance metrics and delivery timelines 
  • Track record of producing policy analyses and written materials used in advocacy efforts 
  • Working knowledge of pharmacy and PBM policy, including applicable state and federal regulations 
  • Demonstrated ability to translate complex policy into actionable business recommendations 
  • Experience influencing cross-functional stakeholders in matrixed organizations to achieve defined objectives 
  • Strong written and verbal communication skills, including regular presentations to executive leadership and external stakeholders 
  • Proven ability to build and sustain strategic relationships with measurable outcomes (e.g., partnerships, policy influence) 
  • Demonstrated success delivering against defined goals, KPIs, or performance metrics  

Preferred Qualifications

  • Master's Degree
  • Knowledge of broader health insurance and healthcare policy landscape

Additional Information

  • This is a remote position. (U.S.)
  • Travel at 10%

    Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours

    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


     

    $168,000 - $231,000 per year


     

    This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

    Description of Benefits

    Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

    Application Deadline: 05-28-2026
    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.


    Equal Opportunity Employer

    It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability 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 disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

    Skills Required

    • Bachelor's degree (advanced degree preferred)
    • 8+ years in state healthcare policy
    • 5+ years leading policy development and advocacy deliverables with measurable impact
    • Experience managing consultants or vendors with performance accountability
    • Proven ability to deliver policy analysis and written outputs used in advocacy
    • Strong knowledge of pharmacy and PBM policy and regulation
    • Ability to translate complex policy into clear business insights
    • Experience influencing cross-functional stakeholders in matrixed environments
    • Strong communication skills with regular executive and external presentations
    • Proven ability to build and maintain strategic relationships
    • Demonstrated delivery against defined outcomes and metrics

    Humana Compensation & Benefits Highlights

    The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Humana and has not been reviewed or approved by Humana.

    • Healthcare Strength Medical, dental, vision, supplemental health, and long-term care insurance are offered alongside on-site/virtual wellness resources and weekly paid well-being time, indicating a whole-person focus.
    • Leave & Time Off Breadth Paid PTO and holidays, volunteer time, and formal leave options such as parental and caregiver time provide broad time-away support. Adoption assistance and lactation rooms extend coverage for key life events.
    • Retirement Support A 401(k) with company match anchors long-term savings. Employer-matched emergency savings programs complement retirement planning.

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    The Company
    Chicago, IL
    40,741 Employees
    Year Founded: 1961

    What We Do

    At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

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