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Formulary Operations Manager - Exchange - Remote

Posted Yesterday
All others
Full Time
Worldwide
$135,000 - $145,000 USD

Overview

The Formulary Operations Manager is responsible for providing operational support for the evaluation, implementation, and maintenance of our standard and custom Commercial and Exchange formularies and utilization management.

In Short

  • Define, configure, and maintain standard and custom formularies.
  • Provide client-facing strategic and operational support.
  • Evaluate appropriateness and operationalize formulary requests.
  • Collaborate with cross-functional teams.
  • Develop drug product review and formulary recommendations.
  • Analyze pharmacy costs and coordinate formulary management programs.
  • Set criteria for medication analysis and reporting requirements.
  • Evaluate drugs and make formulary positioning recommendations.
  • Support claim troubleshooting and formulary change processes.
  • Assist with general business operations and quality improvement projects.

Requirements

  • Doctor of Pharmacy (PharmD) Degree.
  • Current, unrestricted registered pharmacist license(s).
  • Residency/fellowship preferred.
  • 2-3 years of formulary experience preferred.
  • Knowledge of formulary development processes.
  • Experience with large datasets preferred.
  • Exceptional communication skills.
  • Strong organizational skills with attention to detail.
  • Proficiency in Microsoft Excel.
  • Ability to balance multiple projects simultaneously.

Benefits

  • Flexible work environment.
  • Opportunities for professional development.
  • Supportive team culture.
  • Health and wellness programs.
  • Competitive salary and benefits package.

C.R

Capital Rx

Capital Rx is a health technology company dedicated to providing innovative claim administration and technology solutions for carriers, health plans, third-party administrators, employer groups, and government entities. As a public benefit corporation, Capital Rx aims to significantly reduce healthcare costs through its full-service pharmacy benefit management (PBM) services and the deployment of Judi®, a cloud-native enterprise health platform. Judi integrates all aspects of the healthcare ecosystem into a single, efficient, and scalable platform, serving millions of members across Medicare, Medicaid, and commercial plans. The company is committed to reimagining benefits administration and rebuilding trust in healthcare while fostering a diverse and inclusive workplace.

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