We are committed to helping humans by making medications more affordable for the people who need them.
Specialist, Formulary Operations
Location
Idaho
Posted
133 days ago
Salary
$20 - $23 / hour
Seniority
Senior
Job Description
Specialist, Formulary Operations
Navitus Health Solutions
• Perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus’ clients for all lines of business • Work with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients • Day to day formulary maintenance • Having advisory input to how this information is presented, maintained, and reviewed • Take formulary information from various sources including the Pharmacy and Therapeutics Committee, the Formulary Advisory Committee, and Clinical Account Executives to coordinate the process of entering the information into the formulary change database and communicating changes to Benefits Systems and Auditing • Maintain up-to-date formulary documents available through multiple resources including ePocrates, web portals, and e-prescribing • Review weekly Medispan Reports for new drugs and drug changes that impact the formulary • Collaborate with clinical and client services throughout new client implementations to capture the formulary information needed for plan set-up • Trouble-shoot various formulary/set-up questions • Approximate travel required (5-10%) • Other duties as assigned
Job Requirements
- A minimum of a High School diploma plus knowledge relating to pharmacy practice is required
- CPhT/experience as a pharmacy technician strongly preferred
- Previous experience with pharmacy claims software is a definite plus
- 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 community practice)
- Familiarity with Formulary, Prior Authorization, Step Therapy, and other utilization management tools preferred
- Strong computer skills (Excel, Word, Outlook)
- Strong communication skills (verbal and written)
- Needs to work well both independently and in a team setting
- Must be able to exercise appropriate judgment as necessary
- Requires a high level of initiative and creativity
- Participate in, adhere to, and support compliance program objectives
- The ability to consistently interact cooperatively and respectfully with other employees.
Benefits
- 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!
Related Guides
Related Categories
Related Job Pages
More Operations Jobs
• Identification de croissance : Repérer et évaluer la taille des nouvelles opportunités de monétisation et de croissance pour HTS Media. • Expérimentation agile : Concevoir des expériences pilotes légères pour valider l'impact potentiel. • Analytique et narration : Bâtir des modèles analytiques, des tableaux de bord et des argumentaires pour soutenir la prise de décision. • Partenariats internes : Collaborer étroitement avec les équipes de produit, d'ingénierie, des ventes et des opérations pour propulser l'exécution. • Clarté dans l'ambiguïté : Traduire des problématiques complexes en plans d'action clairs et en résultats mesurables. • Autonomie : Opérer de manière indépendante avec une supervision minimale dans un environnement de haute ambiguïté.
VP, Operations Design – Strategy
MainstayUnlock single-family rental opportunities with comprehensive market intelligence and the tools to make it work for you.
• Own end to end operational outcomes across HOA and Tax, with clear accountability for delivery, prioritization, and process design • Set and run operating cadences, including metrics, reviews, and accountability rhythms that teams execute against • Be hands on in execution where needed to maintain continuity of delivery, unblock teams, and model Mainstay’s “way of operating” • Design, evolve, and enforce processes that improve reliability, quality and scalability • Make final decisions on issue triage, sequencing of work, and tradeoffs across initiatives • Translate product strategy into executable operating plans and provide grounded feedback based on delivery realities • Build, develop and hold accountable a team of leaders, creating clarity around ownership and decision rights • Identify organizational gaps and make hiring decisions to strengthen execution capacity in partnership with our COO • Drive cross functional alignment through clear communication, strong judgment, and disciplined prioritization • Say no to work that distracts from core priorities, even when it’s uncomfortable • Balance meaningful change with an awareness of team capacity and long term sustainability
Sales & Client Operations Coordinator
Koda HealthLet's Talk about the Elephant in the Room. Streamlining Digital Advance Care Planning for Patients and Physicians.
• Drive fast, consistent post-meeting follow-ups, materials, and next steps • Prepare pre-call research and customize decks for prospects • Manage outreach and follow-up cadences to keep deals warm during long sales cycles • Use AI tools to draft, refine, and personalize prospect communications • Partner with Marketing and internal teams to surface relevant proof points and case studies • Keep CRM (Attio) and project management systems (ClickUp) clean, current, and reliable • Ensure meeting notes, action items, and deal updates land in the right systems • Flag pipeline gaps, stalled deals, and overdue next steps early • Track lead sources, attribution, and campaign performance to support forecasting • Manage calendar logistics for sales meetings, QBRs, and client check-ins • Coordinate conference preparation and post-event follow-ups • Support cross-functional coordination to keep contracts, deliverables, and internal workstreams on track • Maintain and update sales collateral and client-facing materials • Support nurture sequences and ongoing touchpoint schedules • Coordinate case study development and client storytelling • Assist with webinar logistics and post-event outreach
Intern – Multi-Department, EdTech, Technology, Sales, Marketing & Operations
Sehyog Academy UKA decade of trust. 10,000+ students | 1-2-1 and Group Online Classes | 11+, SATs, KS2, KS3, GCSE, iGCSE, AS/A-Levels
• Provide cross-functional support across multiple departments, including Technology (App/Web Development, AI Tools, Data science, Data Analytics), Sales, Operations, Digital Marketing, and Quality Assurance • Assist with application and website development and testing • Support sales activities such as lead management and follow-ups • Contribute to digital marketing initiatives • Manage day-to-day operational tasks • Maintain accurate records • Monitor quality standards, ensuring adherence to standard operating procedures (SOPs) • Prepare regular reports




