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Associate Director – Formulary Management
Location
Wisconsin
Posted
88 days ago
Salary
$160K - $170K / year
Seniority
Senior
Job Description
Associate Director – Formulary Management
UNITAS
• Oversee the development and maintenance of custom formularies for all non-Medicare lines of business including Commercial, Medicaid, and Health Information Marketplace/Exchange • Monitor and analyze regulatory and legislative requirements, develop project plans to meet requirements, and lead cross functional teams to implement programs to meet requirements • Oversee the implementation and maintenance of custom and standard formularies • Supports relationship with external partners/vendors (P&T, rebate aggregator, formulary management tool, etc.) • Facilitate communication to and education of clients, members, and internal staff regarding clinical issues and objectives • Supervise and coach direct reports in the performance of their duties including performance reviews and feedback to direct reports • Develop clinical criteria for review of non-formulary or non-preferred drug lists and communicate recommendations to clients • Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies • Provide support to operational teams and clients during implementation • Analyze and interpret prescription claims data to identify opportunities to improve existing formulary management strategies • Supports quality improvement and clinical value projects, as required • Support Pharmacy and Therapeutics (P&T) committee items, as required • Support RFI and RFP submissions, as required • Support general business needs and operations, as required • Responsible for adherence to the company Code of Conduct including reporting of noncompliance.
Job 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
- 6-8 years of pharmacy experience working for a health plan or PBM
- Knowledge of highly managed specialty medications/strategy, formulary development and maintenance process, and pharmacy vs. medical medications
- Proficient in Microsoft Office with emphasis on Microsoft Excel and Microsoft PowerPoint
- Experience working with large datasets preferred
- Ability to balance multiple complex projects simultaneously
- 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.
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