Formulary Consultation Director

MedImpact Healthcare Systems • San Diego, CA

266d • $132,323 - $240,828 • Remote

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Requirements

• Pharm.D. from an accredited school of pharmacy (or equivalent combination of education and experience, such as a Registered Pharmacist (RPh)) plus 10+ years of related experience.
• Five (5) years experience in client management or client support roles.
• Understanding and hands on experience with rebate modeling and economics.
• Four (4) years of supervisory experience leading individual contributors and leading leaders preferred.
• Strong knowledge of Microsoft Office Suite including Word and Access, with strong Excel skills.
• Prefer working knowledge of SQL software.
• Registered Pharmacist in good standing.

Nice To Haves

• Solid working knowledge of PBM industry, healthcare, and government programs.
• Proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills.
• Experience in operational application of database applications, accounting, finance, or data analysis.
• Demonstrated attention to detail and experience leading quality improvement initiatives.

Responsibilities

• Provide formulary modeling and consultation for custom client formularies.
• Analyze market data, P&T decisions, and competitive landscape to inform formulary decisions.
• Collaborate with clinical teams to assess new drugs and therapeutic alternative strategies.
• Participate in internal value assessment committee, guiding the evaluation of strategic opportunities based on clinical, economic, and value-based criteria.
• Participate in committee meetings, ensure adherence to evaluation frameworks, and drive consensus on formulary decisions.
• Oversee the development and implementation of value assessment methodologies for rigorous and transparent evaluations.
• Oversee the development and execution of project plans, timelines, and deliverables related to team initiatives.
• Serve as the primary point of contact for internal stakeholders regarding custom formulary clients from a rebate perspective.
• Develop and deliver presentations and reports to various levels within the organization, clients, and other key stakeholders.
• Develop and maintain process for external communications highlighting high impact formulary changes, in line with standard client communication processes and procedures.
• Stay abreast of regulatory changes and ensure custom formulary strategies comply with federal and state regulations, particularly for Medicare Part D.
• Provide consultative support to client account teams related to market events, legislative items and standard MedImpact decisions.
• Generate regular reports on formulary performance, financial impact, and clinical outcomes for senior leadership and clients.
• Identify opportunities for process improvements and lead initiatives to enhance formulary management practices.
• Foster a culture of innovation and continuous learning within the formulary team.
• Build strong and collaborative working relationships with other members of the Trade Relations department, Account Team, Financial Analytics Team and other MedImpact departments to deliver value to clients and generate revenue and reduced risk for MedImpact.
• Evaluate client support model for clients and provide feedback to leadership.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Insurance Carriers and Related Activities
• Education Level: Ph.D. or professional degree