Formulary Lead, Formulary Operations

Company
Navitus About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap. Pay Range
USD $56,806.00 - USD $68,441.00 /Yr. STAR Bonus % (At Risk Maximum)
7.50 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm Remote Work Notification
ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin. 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 implementation
Communicate and document all approved FAC and P&T changes to internal teams and client groups for approval, including client responses
Provide detailed change spreadsheets outlining required formulary changes and client decisions from FAC and P&T for entry into FBMS by Formulary Operations Specialists
Operationalize 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 clients
Coordinate formulary document creation and posting, including maintenance of web, e-prescribing, formularies, change notifications, and medication program lists
Review, 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 questions
Participate in meetings and committees as requested/assigned
Other 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 required
Pharmacy technician certification/experience is required, with additional education beyond high school strongly preferred
A minimum of 2-5 years of experience working with formulary information
Proven analytical, problem solving and written and verbal communication skills
Experience in PBM/Managed health care claims processing required
Must be comfortable communicating with vendors, outside and internal customers
Must 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 formularies
Experience with maintenance of formulary setup and documents
Strong computer skills (Excel, Word, Outlook)
Participate in, adhere to, and support compliance program objectives
The 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!
Location : Address
Remote Location : Country
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