Formulary Analyst

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.
Join us in improving health care outcomes for all!  We promise to do what’s right, always.

Position Summary:
The Formulary Analyst plays a crucial role on the Formulary Strategies Team, responsible for ensuring accurate input and maintenance of formulary data in the formulary management system. This position requires a keen attention to detail, analytical skills, and an understanding of formulary design.

What you will do:

Formulary Data Management:

•    Input and maintain formulary information in the formulary management system, ensuring accuracy and compliance with organizational and regulatory guidelines
•    Regularly update formulary data to reflect changes in drug availability, pricing, and therapeutic alternatives
•    Create member facing documentation and manage formulary websites

Claims Processing:

•    Coordinate submission of formulary and clinical benefit changes to claims processor 

Utilization Management Support:

•    Assist Formulary Strategies Team with pulling claims utilization reports to support the development and implementation of utilization management protocols

Formulary Communication:

•    Communicate formulary changes and updates to internal and external stakeholders
•    Respond to inquiries related to formulary status and coverage criteria

Compliance and Regulatory Oversight:

•    Ensure that formulary data and processes adhere to regulatory requirements and industry standards
•    Collaborate with compliance to conduct audits and address any identified issues
•    Maintain department process documents to ensure compliance

P&T Support:

•    Prepare P&T meeting materials, schedule meetings, and document meeting minutes

What you need:

•    Bachelor’s degree in a healthcare related field or Associates with relevant experience required
•    1-3 years of managed care or PBM experience, preferred 
•    Time management, organizational, and multi-taking skills 
•    Proficiency in using formulary management systems and related software
•    Knowledge of pharmacy benefit design, drug utilization management, and healthcare regulations
•    Strong attention to detail and accuracy in data management
•    Analytical thinking and problem-solving skills
•    Ability to work independently and collaboratively within a team
•    Familiarity with Medispan or First Data Bank terminology preferred
•    Proficiency in Microsoft Office Suite 

What you get:
•    To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes
•    To work in a culture where people thrive because when OUR team thrives, OUR business thrives
•    Competitive compensation, including health, dental, vision and other benefits

Note:  
AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.