Formulary Management Pharmacist

Pharmacy Careers; Madison (WI); Hybrid; USD 130,000 - 190,000; Full time

Benefits offered by this job

Hybrid or remote-friendly

Competitive pay

Professional development

Job summary

Pharmacy Careers in Madison, WI seeks a Formulary Management Pharmacist to influence coverage decisions by evaluating new drugs, analyzing clinical and economic data, and supporting P&T committee work. The role offers hybrid or remote flexibility and opportunities to shape patient access on a large scale.

You will review formulary inclusion, assess trial data and cost-effectiveness, and collaborate with payer stakeholders to balance patient care with resource stewardship.

Qualifications

• PharmD or Bachelor of Pharmacy required.
• Experience with managed care, PBM, or health-plan roles preferred.
• Strong analytical skills and ability to interpret clinical data.

Responsibilities

• Evaluate and review new drug products for formulary inclusion or exclusion.
• Analyze clinical trial data, cost-effectiveness, and therapeutic outcomes to support recommendations.
• Collaborate with P&T Committees on formulary decisions.
• Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards.
• Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines.

Skills

Analytical ability

Clinical research interpretation

Written communication

Education

PharmD

Bachelor of Pharmacy

Job description

Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly

Shape which medications patients can access by evaluating new drugs, analyzing clinical and economic data, and supporting P&T; Committee decisions. This role offers strong intellectual challenge and often hybrid or remote flexibility.

Key Responsibilities

• Evaluate and review new drug products for formulary inclusion or exclusion.
• Analyze clinical trial data, cost-effectiveness, and therapeutic outcomes to support recommendations.
• Collaborate with Pharmacy & Therapeutics (P&T;) Committees on formulary decisions.
• Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards.
• Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines.

What You'll Bring

• Education: PharmD or Bachelor of Pharmacy.
• Experience: Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work are encouraged to apply.
• Skills: Strong analytical ability, interpretation of clinical research, and excellent written communication.

Why This Role?

• Influence therapy access decisions that affect large populations.
• Many positions are hybrid or remote-friendly.
• Competitive pay, benefits, and professional development.

About Us

We are a confidential healthcare organization working with PBMs, insurers, and health systems nationwide. Our pharmacists drive evidence-based decisions that balance patient care with responsible resource use.