UNITAS

We know clinicians because we are clinicians!

Formulary Operations Manager

OperationsOperationsFull TimeRemoteTeam 51-200Since 2021H1B SponsorCompany SiteLinkedIn

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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