Formulary Operations Pharmacist - Medicare
- Description:
One of the PBM Industry’s fastest-growing players is seeking a strategic PharmD Formulary Operations Pharmacist-Medicare professional responsible for providing operational support for the evaluation, implementation, and maintenance of Medicare Part D formularies and utilization management. This role will be instrumental in supporting sales efforts and improving formulary disruption processes and workflows.
Some of the position responsibilities include:Maintain standard and custom formularies for the Medicare line of business in accordance with CMS Medicare guidelines
Support development, implementation, maintenance, and quality control of Medicare Part D formularies, utilization management, and clinical adjudication drug lists
Identify opportunities for expansion of the low-cost alternative program, aiming to reduce overall drug spend without compromising care.
Analyze and interpret prescription claims data to identify trends, potential risks, and opportunities for improvement in formulary strategy.
Support Pharmacy and Therapeutics (P&T) committee items, as required.
The compensation plan includes a salary, ranging from $125,000- $135,000 (do/e), plus bonus, equity, and benefits.Preferably, this position will be filled in either the New York City OR Denver Metro areas, but it can also be filled remotely.
Requirements:
The ideal candidate for this position must be a PharmD from an accredited institution, with record of strong academic performance.Current, unrestricted registered pharmacist license(s)
Residency/fellowship preferred
Minimum 2+ years of pharmacy experience working for a health plan or PBM
2-3 years of Medicare experience preferred
Understanding of formulary management, claims data analysis, and drug utilization strategies
Experience working with large datasets required
Proficient in Microsoft Office with strong emphasis on Microsoft Excel and Microsoft PowerPoint
Ability to balance multiple complex projects simultaneously
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Qualified candidates should send their resumes in MS Word format to: mail@
Recommended Jobs
Nurse Practitioner or Physician Assistant
Job Description Job Description Acute Care Nurse Practitioner/Physician Assistant opportunity in Buffalo, NY Wonderful opportunity to join a close-knit group of 12 physicians and 8 advanced …
Sr Environ Health Safety Specialist
Pay Ranges : $99800-$154700 ABOUT THE ORGANIZATION Sun Chemical, a member of the DIC Group, is a leading producer of packaging and graphic solutions, color and display technologies, fu…
BARTENDER (ON CALL)
We have an opening for on call BARTENDER positions. Location: NYSE - 11 Wall Street, New York, NY 10005 Note: online applications accepted only. Schedule : On call schedule. Monday - Fr…
PLC Engineer
The National Synchrotron Light Source is a state-of-the-art, medium-energy (3-billion-electron-volt, or GeV) electron storage ring that produces x-rays up to 10,000 times brighter than the NSLS. The m…
Senior Software Engineer, Compiler
Category Labs (formerly known as Monad Labs) is a team of systems engineers and researchers on a mission to design and build at the frontier of decentralized technology. We strive to design and build…
Software Engineer (Backend)
Traba is a technology company that enhances the productivity of the light industrial supply chain. We connect businesses with vetted workers to meet their staffing needs by leveraging location monito…
Metal Fabricator
Job Description Job Description TopView Sightseeing is a New York City-based company offering a variety of sightseeing bus tours. We own and manage the portfolio of brands, including TopView Sig…
Senior Research Support Specialist
Senior Research Support Specialist Flow Cytometry Resource Center, Rockefeller University, New York, USA Department Description The Flow Cytometry Resource Center (FCRC) offers a wide variety of mu…
LPN-Medication Authorizations-Greenlawn, NY-Full Time-Day-Offsite
Description LPN-Medication Authorizations-Greenlawn, NY-Full Time-Day-Offsite The Offsite Licensed Practice Nurse works as part of a healthcare team by assisting in planning and implementing ca…
Chiropractor
FULL TIME Chiropractor (DC) Needed in NY, NY 10016 Full spine adjuster/drop/ART/electric stim Monday through Thursday 10:30 am till 7:30 pm 80-120k...based on experience Bonus based on numbe…