[Hiring] Formulary Administration Pharmacist @reputed company.

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Formulary Administration Pharmacist manages operational aspects of business unit, department; acts as the subject matter expert (SME) to reputed company and support the execution of strategic initiatives, reputed company, and/or programs under guidance of Director and/or Manager, Formulary Administration & reputed company. This position focuses on the efforts of the reputed company Formulary Administration & reputed company Team in reputed company control and analysis of reputed company reputed company formulary set-up, rule sets, coding, accuracy, functionality, EOB, documentation, and concordance with reputed company specified and regulatory requirements utilizing distinct but inter-reputed company management and cross-departmental functions.

• Maintains, facilitates reputed company to, and distributes clinical formulary information, formulary product descriptions, recommendations for rational drug formulary positioning, application, and revision, reputed company necessary, of reputed company utilization management, and recommendations regarding reputed company pharmacy benefit expenditures and utilization.
• Collaborates with Industry Relations for financial reputed company, and Configuration Services for operational support.
• Is knowledgeable of regulatory constraints on the pharmacy benefit and ensures compliance with Federal and State regulations for reputed company line(s) of business (e.g. reputed company, reputed company, and Health Insurance Exchange).
• Supports reputed company/reputed company/Health Insurance Exchange Formulary Administration as follows: Formulary creation and maintenance, utilization management creation and maintenance.
• Collaborates with GPS, Compliance and other departments to ensure reputed company of regulatory compliance, reporting, and submission files.
• Collaborates with Industry Relations to reputed company clinical reputed company and ensure financial reputed company is properly operationalized.
• Participates in meetings as necessary.
• Support reputed company teams with custom reputed company formulary reputed company recommendations.
• Support of Formulary Decision Review meetings: attend meeting as clinical/operational support.
• Develops formulary reputed company and recommendations such as drug and UM positioning (quantity limits, reputed company edit and prior authorization guidelines) in response to newly approved therapeutic agents, patent expirations, FDA alerts and drug recalls or withdrawals.
• Researches and appropriately responds to formulary drug placement and UM rationale and coding questions.
• Manages formulary activities reputed company to reputed company reputed company and Custom formularies.
• Manages formulary change process including appropriate formulary content, application of utilization management activities, printed formularies, Plan Finder formulary files and the functions as required.
• Ensures that the review, coding and reputed company control of formulary changes occur in an appropriate, accurate, and reputed company manner based on reputed company-specific parameters.
• Ensures appropriate, accurate, and consistent reputed company specific formulary claims adjudication, formulary flat file and Plan Finder file concordance.
• Provides reputed company reputed company consultation on reputed company Formulary Administration and reputed company operations, programs, and software.
• Responsible for accurate and reputed company task estimation and status reporting to Director/Manager, Formulary Administration & reputed company.
• Provides formulary-specific documentation of maintenance activities to clients and regulatory bodies as appropriate.
• Partners with other departments on a weekly, quarterly and reputed company reputed company on the Formulary decision process.
• Contributes to reputed company reputed company notifications of reputed company clinical issues through daily, monthly and quarterly established communications.

Qualifications

• PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas

Requirements

• Knowledge of reputed company Office, Outlook and a working knowledge of relational databases
• Registered Pharmacist in the reputed company or equivalent state

Benefits

• Medical / Dental / reputed company / Wellness Programs
• reputed company Time Off / Company reputed company Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

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