Specialist, Formulary Operations

Navitus Health Solutions, LLC • ,

1d • $20 - $24 • Remote

About The Position

Navitus Health Solutions is seeking a Specialist, Formulary Operations to join our team! The Specialist, Formulary Operations will perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus’ clients for all lines of business. This includes working with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients, as well as day to day formulary maintenance; and having advisory input to how this information is presented, maintained, and reviewed.

Requirements

• A minimum of a High School diploma plus knowledge relating to pharmacy practice is required
• Previous experience with pharmacy claims software is a definite plus
• Must have a working knowledge of pharmacy practice including drug names (brand vs. generic, NDC, GPI) and claims processing background (either from managed care or community practice)
• Strong computer skills (Excel, Word, Outlook)
• Strong communication skills (verbal and written)
• Needs to work well both independently and in a team setting
• Must be able to exercise appropriate judgment as necessary
• Requires a high level of initiative and creativity
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

Nice To Haves

• CPhT/experience as a pharmacy technician strongly preferred
• Familiarity with Formulary, Prior Authorization, Step Therapy, and other utilization management tools preferred

Responsibilities

• Take formulary information from various sources including the Pharmacy and Therapeutics Committee, the Formulary Advisory Committee, and Clinical Account Executives to coordinate the process of entering the information into the formulary change database and communicating changes to Benefits Systems and Auditing
• Maintain up-to-date formulary documents available through multiple resources including ePocrates, web portals, and e-prescribing
• Review weekly Medispan Reports for new drugs and drug changes that impact the formulary
• Collaborate with clinical and client services throughout new client implementations to capture the formulary information needed for plan set-up
• Trouble-shoot various formulary / set-up questions
• Approximate travel required (5-10%)
• Other duties as assigned

Benefits

• Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5%
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED