Back to jobs
New

Formulary Operations Pharmacist

Remote

Job Summary:  

We are seeking a detail-oriented and collaborative Formulary Operations Pharmacist to support a wide range of clinical and operational initiatives across Capital Rx. This role will be instrumental in supporting sales efforts and improving formulary disruption processes and workflows.  

Key Responsibilities:  

  • Lead the clinical operations responses process for Requests for Proposal (RFPs), Requests for Information (RFIs), and other sales-related inquiries.  
  • Enhance the formulary disruption process to improve accuracy of member and prescriber impact analyses.  
  • Collaborate with Capital Rx’s Underwriting and Analytics teams to review disruption templates and provide clinical feedback to ensure accuracy and clarity. 
  • Collaborate and enhance and drug mix analytics to further automate process 
  • Support quarterly formulary disruption reviews and assist in identifying clinically appropriate alternatives.  
  • Serve as the clinical operations liaison to assist with ad-hoc sales requests and strategic communications for clients to provide expert insights from a clinical perspective.  
  • Assist in automating formulary alternative recommendations and streamlining related workflows.  
  • Identify opportunities for expansion of the low-cost alternative program, aiming to reduce overall drug spend without compromising care.  
  • Analyze and interpret prescription claims data to identify trends, potential risks, and opportunities for improvement in formulary strategy.  
  • Provide clinical support to operational teams and clients during implementation.  
  • Supports quality improvement and clinical value projects, as required. 
  • Support Pharmacy and Therapeutics (P&T) committee items, as required. 
  • Support general business needs and operations, as required. 
  • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. 

Qualifications:  

  • Doctor of Pharmacy (PharmD) Degree from an accredited institution 
  • Current, unrestricted registered pharmacist license(s) 
  • Residency/fellowship preferred 
  • Minimum 2+ years of pharmacy experience working for a health plan or PBM 
  • Understanding of formulary management, claims data analysis, and drug utilization strategies 
  • Experience working with large datasets required 
  • Proficient in Microsoft Office with strong emphasis on Microsoft Excel and Microsoft PowerPoint 
  • Excellent communication skills, both written and verbal 
  • Ability to balance multiple complex projects simultaneously 
  • Strong collaboration skills and ability to work effectively across cross-functional teams 
  • Creative problem solver with the ability to think outside the box and develop practical, innovative solutions 
  • Extremely flexible, highly organized, and able to shift priorities easily 
  • Attention to detail & commitment to delivering high quality work product 

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. 

Salary Range

$125,000 - $135,000 USD

About Capital Rx 

Capital Rx is a health technology company providing claim administration and technology solutions for carriers, health plans, TPAs, employer groups, and government entities. As a public benefit corporation, Capital Rx is executing its mission to materially reduce healthcare costs as a full-service PBM and through the deployment of Judi®, the company’s cloud-native enterprise health platform. Judi connects every aspect of the healthcare ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

Create a Job Alert

Interested in building your career at Capital Rx? Get future opportunities sent straight to your email.

Apply for this job

*

indicates a required field

Resume/CV*

Accepted file types: pdf, doc, docx, txt, rtf

Cover Letter

Accepted file types: pdf, doc, docx, txt, rtf

Select...
Select...
Select...
Select...
Select...
Select...
Select...

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Capital Rx’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Select...
Select...
Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Select...

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury
Select...

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.