Director, State Public Policy – Pharmacy, Pharmacy Benefit Management

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.

Requirements

• 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/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