Formulary Admin Pharmacist - Strategy & Compliance Expert

MedImpact Healthcare Systems Inc.; San Diego (CA); On-site; USD 109,000 - 196,000; Full time

Benefits offered by this job

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact Healthcare Systems, Inc. is seeking a Formulary Administration Pharmacist to lead and support strategic initiatives within the Formulary Administration & Strategy team.

The role focuses on quality control and analysis of client formulary setup, rule sets, coding, documentation, and alignment with regulatory requirements. The position requires a PharmD and at least 3 years of experience (plus 1 year as SME).

Qualifications

• PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas.
• Registered Pharmacist in a U.S. state or territory.
• Knowledge of Microsoft Office, Outlook and relational databases.
• Advanced Microsoft Excel skills including data validation, pivot tables, formulas, analysis, and reconciliation of large datasets.

Responsibilities

• Collaborates with Drug Information, Formulary Strategy, and Configuration Services to translate approved clinical recommendations and formulary strategies into accurate operational implementation.
• Oversee coding, maintenance, quality control, validation, documentation, and distribution of formulary and utilization management data across claims adjudication and regulatory submissions.
• Maintains knowledge of pharmacy benefit regulatory requirements and ensures compliance with applicable Federal and State regulations across all lines of business.
• Supports Formulary Administration operations across Commercial, Health Insurance Exchange, and other lines of business.

Skills

Excel

Data analysis

Pharmacist knowledge

Education

PharmD

US Pharmacist License

Tools

Microsoft Office

Outlook

Relational databases

Job description

MedImpact Healthcare Systems, Inc. is seeking a Formulary Administration Pharmacist to lead and support strategic initiatives within the Formulary Administration & Strategy team.

The role focuses on quality control and analysis of client formulary setup, rule sets, coding, documentation, and alignment with regulatory requirements. The position requires a PharmD and at least 3 years of experience (plus 1 year as SME).