Senior Formulary Analyst Job
Job Description Job Attributes+
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Job ID
908976
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Req #
1264202BR
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Job Location
620 Epsilon Dr
Pittsburgh, PA 15238, US -
Job Category
Analytics
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Job Type
Full Time
Job Description
As a Senior Formulary Analyst, you will perform a critical role in the management of the Health Exchanges formulary. Key functions include CMS approved formulary file management, performing client-specific reporting, formulary analysis tools, directing adjudication changes, and providing formulary related guidance for modified template formularies. You will work closely with the clinical team in the development and maintenance of the template Health Exchanges formularies. This position will adhere to strict CMS deadlines and quality measures.
As a Senior Formulary Analyst, you will be responsible for the following:
- Building/maintaining formularies and drug lists in formulary management system
- Creation of formulary submission files to the state or federal governing bodies
- Providing expertise in formulary management system and prescription drug data
- Advanced formulary analysis and reporting
- Working with clinical and business professionals in a complex organization
Required Qualifications
- 5+ years of professional work experience
- 2+ years of experience with PBM, Pharmacy, or relevant field
- 1+ years of experience with Excel
Preferred Qualifications
- 1+ year formulary management experience
- Experience with Health Exchanges or Part D formulary management
- Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on the RxClaim adjudication platform
- Access experience
Education
Bachelor's Degree required.
Additional Information
Who We Are
We’re a values-based organization focused on helping people on their path to better health. Here, you’ll work alongside former members of the military and current reservists and members of the National Guard. Bring your unique skills to our industry, and we look forward to helping you grow your career.
We offer opportunities at all levels for U.S. Veterans and will enforce the Uniformed Service Employment and Reemployment Rights Act (USERRA).
Also, if you’re a Reservist member of the National Guard, be assured that you’ll have a job at CVS Health when you return from deployment. And, even though your civilian job may differ from your military job, we have many opportunities that may be right for you.
We recognize the value of military spouses bring to our company and continue to look for ways to help you find employment.
Explore our career areas and learn more about continuing your mission to help others.
