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Abarca Health · 2 days ago
Formulary Analyst
United States
Full-time
Hybrid
Mid Level
3+ years exp
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Responsibilities
Facilitate the review, analysis, and submission of new pharmacy formulary designs for approval.
Coordinate and lead formulary design reviews with internal and external clients.
Manage review of all pharmacy formulary test claims to ensure accuracy.
Stay current with Medicare Part D’s rules and regulations.
Assist in the review of pharmacy formulary audits and compliance documentation.
Provide support for RFIs and RFPs requiring formulary data.
Act as a client support resource and participate in formulary administration decisions.
Support the development and maintenance of formulary education and training materials.
Work cross-functionally to implement changes and evaluate system requirements.
Conduct training on system logics and processes.
Evaluate and analyze form process requirements for improvements.
Present demos around the PBM configuration platform to clients.
Provide onboarding and training to Formulary Analysts and other staff.
Qualification
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Required
Associate or bachelor’s degree in a related field. (In lieu of a degree, equivalent, relevant work experience may be considered.)
3+ years of work-related experience in PBM industry and operations.
Pharmacy Technician accreditation as well as a current and active license.
Experience with group benefits, services, and programs.
Experience writing so requirements, expectations, results, and conclusions are read easily.
Experience with established PBM Technology Companies.
Experience applying professional presence and business acumen to effectively manage clients, prospects, partners, and vendors.
Experience with basic statistics and management reporting.
Excellent oral and written communication skills. Bilingual fluency in Spanish and English is required.
We are proud to offer a flexible hybrid work model which will require certain on-site workdays (Puerto Rico Location Only).
Preferred
Experience or coursework in expanded benefits and/or insurance industry.
Experience with Medicare Part D regulations.
Must be able to access and navigate each department at the organization’s facilities.
Sedentary work that primarily involves sitting/standing.
Company
Abarca Health
Abarca Health is an information technology company that offers healthcare IT services
501-1,000 employees
Funding
Current Stage
Late StageLeadership Team
Adriana Ramirez
Chief Operating Officer
Recent News
2024-05-24
Company data provided by crunchbase
