Formulary Operations Manager

Job not on LinkedIn

November 4

🧀 Wisconsin – Remote

Although this job is listed in Wisconsin, this company may be open to hiring remote in other states.

💵 $135k - $145k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

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UNITAS

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Recruitment • Pharmaceuticals

UNITAS is a clinician-led staffing and consulting firm founded in 2021 that specializes in recruiting clinical, operational, and leadership talent for pharmacy benefit managers (PBMs) and related healthcare organizations. They provide contract-to-hire, direct hire, temporary staff augmentation, and operational/clinical consulting services, vet candidates through licensed clinicians, and emphasize high retention and strong client/candidate experience across the United States.

51 - 200 employees

Founded 2021

🎯 Recruiter

💊 Pharmaceuticals

📋 Description

• The Formulary Operations Manager is responsible for providing operational support for the evaluation, implementation, and maintenance of standard and custom Commercial and Exchange formularies and utilization management. • This individual supports the creation and maintenance of formulary, clinical adjudication list, and utilization management lists. • Preparation of Exchange JSON formulary submission files and member formulary drug lists, preparation and review of updates for implementation, and other formulary and utilization management related tasks and processes. • The role requires strong cross functional collaboration and communication skills, and an understanding of formulary operations processes.

🎯 Requirements

• Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance • Current, unrestricted registered pharmacist license(s) • Residency/fellowship preferred • 2-3 years of formulary experience working for a health plan or PBM preferred • 2-3 years of Medicare experience preferred • Knowledge of formulary development and maintenance processes • Knowledge of highly managed specialty medications/strategy • Knowledge of rebate and financial implications of formulary strategies • Experience working with large datasets preferred • Ability to independently identify, research, and resolve issues • Ability to balance multiple complex projects simultaneously • Ability to work extended hours, weekends, and holidays consistent with industry demands • Exceptional written and verbal communication skills • Extremely flexible, highly organized, and able to shift priorities easily • Attention to detail & commitment to delivering high quality work product • Microsoft office suite with emphasis on Microsoft excel proficiency required