Job Description:
Job Description:Overview
Due to growth, we are adding a Formulary Lead, Formulary Operations to our team!
The Formulary Lead, Formulary Operations will perform the daily, weekly and monthly/periodic administrative functions relative to updating and maintaining the various formularies for Navitus clients. This includes all of the duties of the Formulary Operations Specialist II, plus responsibilities for triaging, assigning, and monitoring completion of work requests. The Formulary Operations Formulary Lead will work closely with internal Navitus teams to coordinate and operationalize all changes to the formulary including drug tiering and utilization management. Additionally, the Formulary Operations Formulary Lead will work with internal departments to ensure formulary resources are requested and allocated properly.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team? Research and coordinate approval with Formulary Operations Leadership all proposed FAC and P&T changes based on Navitus base setup, functionality of software and timelines for implementationCommunicate and document all approved FAC and P&T changes to internal teams and client groups for approval, including client responsesProvide detailed change spreadsheets outlining required formulary changes and client decisions from FAC and P&T for entry into FBMS by Formulary Operations SpecialistsOperationalize formulary information from various sources including Formulary Advisory Committee, the Pharmacy and Therapeutics committee, Medi-span, and Account Management and coordinate the process of getting the information into the Formulary and Benefit Management System (FBMS). Make independent decisions on formulary setup and maintenance when creating and building new formulary designs for custom clients which directly affects the bottom line of our clientsCoordinate formulary document creation and posting, including maintenance of web, e-prescribing, formularies, change notifications, and medication program listsReview, assign and monitor the following tasks with Specialists based on criteria developed by Formulary Operations Leadership: Formulary Change Requests, New Client Formulary Implementations, Operational formulary clean-ups, Requests for Formulary Specialists as project SMEs, Maintain P&Ps and standard work instructions around day-to-day work, Assist Formulary Operations Specialists with problem-solving and troubleshooting, and Trouble-shoot various formulary/set-up questionsParticipate in meetings and committees as requested/assignedOther duties as assigned
Qualifications
What our team expects from you? A minimum of a High School diploma plus specialized knowledge relating to PBM practice and business software applications is requiredPharmacy technician certification/experience is required, with additional education beyond high school strongly preferredA minimum of 2-5 years of experience working with formulary informationProven analytical, problem solving and written and verbal communication skillsExperience in PBM/Managed health care claims processing requiredMust be comfortable communicating with vendors, outside and internal customersMust have a working knowledge of pharmacy practice including drug names (brand vs. generic, NDC, GPI) and claims processing background (either from managed care or from community practice)Familiarity with prescription drug formulariesExperience with maintenance of formulary setup and documentsStrong computer skills (Excel, Word, Outlook)Participate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program – up to $750!
#LI-Remote
Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.
Equal employment opportunity, including veterans and individuals with disabilities.
PI288407065
Salary:
$56,806.00
Apply Now
Share Profile
Find Similar Jobs
LEAD WAREHOUSE ATTENDANT (F...
Omaha, NE
HOUSEKEEPER LEAD (FULL TIME...
Houston, TX
HOUSEKEEPER LEAD (PART TIME)
Brooklyn, NY
Concessions Lead Attendant ...
Richmond, VA
Lead Attorney
Atlanta, GA