Formulary Operations Pharmacist - Medicare

• Position ID #: PBM081525CMS
• Location: Denver - New York City
• Required Education: PharmD
• Salary Range: $125,000 - $130,000
• Required Experience: Two-Four Years
• Commission Range: N/A
• Other: Benefits
• Required Travel: N/A
• Relocation: N/A
• 
  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@phoenixhealthsearch.com