Associate Director, Formulary Management

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!

Position Responsibilities:

  • 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.

 

Qualifications/Profile:

  • 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

The pay range for this role is:

160,000 - 170,000 USD per year (Remote)

Leadership

Remote (River Falls, Wisconsin, US)

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