UNITAS
We know clinicians because we are clinicians!
Formulary Operations Manager
Location
Wisconsin
Posted
133 days ago
Salary
$135K - $145K / year
Postgraduate Degree2 yrs expEnglish
Job Description
• The Formulary Operations Manager is responsible for providing operational support for the evaluation, implementation, and maintenance of standard and custom Commercial and Exchange formularies and utilization management.
• This individual supports the creation and maintenance of formulary, clinical adjudication list, and utilization management lists.
• Preparation of Exchange JSON formulary submission files and member formulary drug lists, preparation and review of updates for implementation, and other formulary and utilization management related tasks and processes.
• The role requires strong cross functional collaboration and communication skills, and an understanding of formulary operations processes.
Job Requirements
- Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
- Current, unrestricted registered pharmacist license(s)
- Residency/fellowship preferred
- 2-3 years of formulary experience working for a health plan or PBM preferred
- 2-3 years of Medicare experience preferred
- Knowledge of formulary development and maintenance processes
- Knowledge of highly managed specialty medications/strategy
- Knowledge of rebate and financial implications of formulary strategies
- Experience working with large datasets preferred
- Ability to independently identify, research, and resolve issues
- Ability to balance multiple complex projects simultaneously
- Ability to work extended hours, weekends, and holidays consistent with industry demands
- Exceptional written and verbal communication skills
- Extremely flexible, highly organized, and able to shift priorities easily
- Attention to detail & commitment to delivering high quality work product
- Microsoft office suite with emphasis on Microsoft excel proficiency required
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