Formulary Operations Pharmacist - Low-Cost Alternatives

Transformcap; Colorado; Hybrid; USD 125,000 - 135,000; Full time

Job summary

Judi Health seeks a detail-oriented Formulary Operations Pharmacist to support clinical and operational initiatives across Judi Rx, focusing on a low-cost alternative program. This role spans program optimization, reporting, and cross-functional collaboration to drive member and sponsor savings.

Responsibilities include evaluating high-cost meds for lower-cost, clinically appropriate alternatives, analyzing claims data, maintaining dashboards, and supporting formulary disruption and new

Qualifications

• Excellent communication skills, both written and verbal.
• Ability to manage multiple complex projects, timelines, and stakeholder requests simultaneously.
• Strong collaboration skills and ability to work effectively across cross-functional teams.
• Experience using claims data, reporting outputs, or Excel-based analyses to support operational decision-making preferred.

Responsibilities

• Support day-to-day management and ongoing optimization of the low-cost alternative program, including maintenance of target drug and alternative lists.
• Evaluate high-cost medications and identify clinically appropriate, formulary-aligned lower-cost alternatives that may reduce spend for members and plan sponsors.
• Analyze claims data, test claim results, opportunity volume, savings outputs, and intervention results to monitor program performance, identify trends, and support dashboard creation and maintenance for the low-cost alternative program and other formulary-focused initiatives.
• Partner with Product, Analytics, Clinical Programs, Benefits, and other internal teams to improve low-cost alternative program logic, implementation workflows, reporting, and member/prescriber engagement processes.
• Support client-specific low-cost alternative program requests, including custom drug list reviews, program expansion opportunities, savings analyses, and questions from account management or sales teams.
• Help document program methodology, operational processes, and workflow updates to support consistent execution and scalable program growth.
• Lead or support clinical operations responses for RFPs, RFIs, and other sales-related inquiries, with emphasis on formulary programs and cost-containment solutions.
• Serve as a clinical operations liaison for ad hoc sales, implementation, account management, and client support requests.
• Enhance and refine formulary disruption processes for new and existing clients, including review of member and prescriber impact analyses and identification of clinically appropriate alternatives.
• Support implementation of new formularies as needed, including clinical review and coordination with internal teams.
• Collaborate with Judi Rx’s Underwriting team to review disruption templates and provide clinical feedback to support accuracy, clarity, and appropriate assumptions.
• Support standard commercial formulary operations, quality improvement, clinical value, Pharmacy and Therapeutics (P&T), and general Formulary Operations projects, as required.

Skills

Attention to detail

Cross-functional collaboration

Communication

Project management

Data analysis

Education

Doctor of Pharmacy (PharmD) Degree

Current, unrestricted pharmacist license

Residency/fellowship preferred

Job description

Judi Health seeks a detail-oriented Formulary Operations Pharmacist to support clinical and operational initiatives across Judi Rx, focusing on a low-cost alternative program. This role spans program optimization, reporting, and cross-functional collaboration to drive member and sponsor savings.

Responsibilities include evaluating high-cost meds for lower-cost, clinically appropriate alternatives, analyzing claims data, maintaining dashboards, and supporting formulary disruption and new