Formulary Manager

WellDyne • Centennial, CO

12h • Onsite

About The Position

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.

Summary
The Formulary Manager designs, maintains, and updates prescription drug lists to balance cost-effectiveness with clinical efficacy. They analyze drug trends and implement utilization management (e.g., prior authorization, step therapy, etc.). This role ensures compliant, cost-efficient medication access for WellDyne’s Clients. The Formulary Manager reports directly to the Director, Clinical Pharmacy Operations and collaborates with cross-functional teams to achieve organizational objectives.

Requirements

• PharmD or Registered Pharmacist (RPh) license
• Previous experience in managed care, PBM Operations, or clinical pharmacy
• Proficiency in MS Excel, data analysis tools, and claims management software
• Strong understanding of drug therapy, pharmacology, and pharmacy benefits structures
• Ability to communicate complex clinical and financial data to diverse stakeholders

Responsibilities

• Create and maintain drug lists, including tier placement, formulary changes and utilization management changes
• Evaluate new and existing drugs for safety, efficacy and cost-effectiveness to inform coverage decisions
• Develop and manage prior authorization (PA) criteria, step therapy rules and quantity limits
• Support clinical aspects of implementation for new Clients, plans, plan changes and other clinical plan set-up requirements
• Prepare and present at Pharmacy & Therapeutics (P&T) committee meetings to make formulary decisions
• Analyze pharmacy claims data to identify cost-saving opportunities and trends in drug utilization
• Collaborate with cross-functional decision-making teams regarding favorable formulary positioning based on manufacturer rebates and discounts
• Ensure compliance with state/federal regulations
• Performs additional duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 1-10 employees