Associate Director - Formulary Operations jobs in United States
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Pulivarthi Group (PG) Healthcare Staffing · 3 months ago

Associate Director - Formulary Operations

Pulivarthi Group LLC is a premier global provider of staffing and IT technology solutions, renowned for delivering exceptional services tailored to each client's unique needs. The Associate Director – Formulary Operations will lead the development, implementation, and maintenance of custom formularies across multiple lines of business, ensuring operational excellence and superior client service.

Artificial Intelligence (AI)Data ManagementInformation TechnologyRobotic Process Automation (RPA)Robotics

Responsibilities

Oversee development and maintenance of custom formularies for all non-Medicare lines of business
Monitor and analyze regulatory and legislative requirements; develop and execute project plans to meet requirements
Lead cross-functional teams to implement new programs and maintain compliance with evolving regulations
Support relationships with external partners/vendors, including P&T committees, rebate aggregators, and formulary management tool providers
Communicate clinical issues and objectives to clients, members, and internal teams; develop education materials as needed
Supervise and coach direct reports, conducting performance reviews and providing regular feedback
Develop clinical criteria for review of non-formulary or non-preferred drug lists; communicate recommendations to clients
Evaluate drugs/drug classes to recommend formulary positioning, utilization management, and formulary management strategies
Provide operational support during implementation of formulary programs
Analyze and interpret prescription claims data to identify opportunities for improved formulary management strategies
Support quality improvement and clinical value projects as needed
Support P&T committee items, RFI/RFP submissions, and other business needs as required
Ensure adherence to the organization’s Code of Conduct, including reporting of noncompliance

Qualification

Formulary developmentPrescription claims analysisLeadership skillsPharmacy experienceMicrosoft ExcelMicrosoft PowerPointCommunication skillsProject managementOrganizational skills

Required

Doctor of Pharmacy (PharmD) from an accredited institution with a record of strong academic performance
Current, unrestricted registered pharmacist license(s)
6–8 years of pharmacy experience working for a health plan or PBM (residency/fellowship preferred)
Proficiency in Microsoft Office Suite (Excel and PowerPoint emphasized)
Ability to manage multiple complex projects simultaneously
Exceptional written and verbal communication skills
Flexible, highly organized, and able to shift priorities easily

Preferred

Residency or fellowship training
Experience managing external vendors and rebate aggregators
Strong Microsoft Excel and PowerPoint proficiency
Experience working with large datasets

Benefits

Comprehensive benefits package.

Company

Pulivarthi Group (PG) Healthcare Staffing

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Pulivarthi Group | Experts in Permanent & Specialized Staffing for Healthcare Welcome to Pulivarthi Group, your strategic staffing and recruiting partner across the United States and Canada.

Funding

Current Stage
Growth Stage
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