Formulary Operations Analyst — PBM & Health Plans

Judi Health; United States; On-site; USD 70,000 - 85,000; Full time

Job summary

Judi Health in Charlotte, NC is seeking a Pharmacy Technician to support formulary maintenance and QA across Commercial, Medicaid, and Medicare lines. You will assist pharmacists in operationalizing client formulary requests within our adjudication and formulary management platforms, triage Salesforce cases, and upload data for testing.

The role requires a licensed pharmacy technician with PBM experience, strong Excel/VBA skills, and the ability to work independently in a fast-paced environment

Qualifications

• Registered Pharmacy Technician license required.
• Certification from NPhCB or NHA or equivalent experience.
• 3-4 years of pharmacy experience with a health plan or PBM.
• Formulary development and maintenance experience at PBM/health plan; custom client benefits preferred.
• Proficient in Excel with advanced functions, VBA and macros.
• Experience working with large datasets.
• Knowledge of pharmacy claims processing and terminology.
• High attention to detail and ability to work independently in a fast-paced environment.
• Flexible, highly organized, and able to balance multiple projects.

Responsibilities

• Support weekly, monthly, and quarterly formulary maintenance and QA checks.
• Assist pharmacists in operationalizing client formulary/benefit requests within the formulary platform.
• Triages and assists with Salesforce cases for custom formularies.
• Triages and monitors the Formulary Operations inbox.
• Uploads formulary data in the adjudication platform and supports testing by uploading adjudication data.
• Assist pharmacists with cross-functional claim troubleshooting through the adjudication platform.
• Review formulary testing output templates for accuracy.
• Support creation/maintenance/validation of client and formulary marketing materials.
• Develop and maintain departmental SharePoint sites.
• Complete assigned work plan objectives and projects on time and maintain quality.

Skills

Attention to detail

Independent work

Multitasking

Data analysis

Education

Pharmacy Technician license

NPhCB or NHA certification

Tools

Microsoft Excel (advanced)

VBA

Macros

Job description

Judi Health in Charlotte, NC is seeking a Pharmacy Technician to support formulary maintenance and QA across Commercial, Medicaid, and Medicare lines. You will assist pharmacists in operationalizing client formulary requests within our adjudication and formulary management platforms, triage Salesforce cases, and upload data for testing.

The role requires a licensed pharmacy technician with PBM experience, strong Excel/VBA skills, and the ability to work independently in a fast-paced environment