Navitus Health Solutions · 14 hours ago

Formulary Lead, Implementation - Commercial/Exchange

United States

Full-time

Remote

Entry, Mid Level

$53K/yr - $63K/yr

2+ years exp

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Responsibilities

Research and coordinate client implementation assignments including attending necessary meetings internally and externally

Create presentation materials and work instructions to be utilized in external client meetings and/or other trainings as required

Operationalize formulary information from various sources including Formulary Advisory Committee, the Pharmacy and Therapeutics committee, Medi-span, and Account Management and coordinate the process of getting the information into the Formulary tools

Understand and articulate abilities within Formulary Operations department and formulary tools

Make independent decisions on formulary setup and maintenance when creating and building new formulary designs for custom clients which directly affects the bottom line of our clients

Coordinate formulary document creation and posting, including maintenance of web, e-prescribing, formularies, change notifications, and medication program lists

Review, assign and monitor the following tasks with Specialists based on criteria developed by Formulary Operations Leadership: Formulary Change Requests, New Client Formulary Implementations, Operational formulary clean-ups, and Requests for Formulary Specialists as project SMEs

Maintain P&Ps and standard work instructions around day-to-day work, specifically focused on Implementations

Trouble-shoot various formulary/set-up questions

Other duties as assigned

Qualification

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Pharmacy Technician certificationFormulary information experiencePBM practice knowledgePharmacy practice knowledgeClaims processing backgroundPrescription drug formulariesFormulary setup maintenanceCompliance program supportCooperative interactionProject management experience

Required

High School diploma or GED, or equivalent, required. Additional education strongly preferred

Pharmacy Technician certification required

2-5 years of experience working with formulary information required

Specialized knowledge relating to PBM practice and business software applications is required

Must have a working knowledge of pharmacy practice including drug names (brand vs. generic, NDC, GPI) and claims processing background (either from managed care or from community practice)

Familiarity with prescription drug formularies

Experience with maintenance of formulary setup and documents

Pharmacy technician experience is required

Participate in, adhere to, and support compliance program objectives

The ability to consistently interact cooperatively and respectfully with other employees