Medicare Formulary Operations Pharmacist (Hybrid)

Capital Rx; Charlotte (NC); Hybrid; USD 125,000 - 135,000; Full time

Job summary

Judi Health in Charlotte, NC seeks a Formulary Operations Pharmacist - Medicare to support evaluation, implementation, and maintenance of Part D formularies and utilization management. This role requires CMS rules knowledge and cross-functional collaboration.

You will prepare CMS files, maintain formulary lists, and work across Medicare and non-Medicare lines, driving operational excellence in a hybrid setup with local flexibility.

Qualifications

• PharmD degree from an accredited institution.
• Current, unrestricted pharmacist license.
• Residency/fellowship preferred.
• 2+ years Medicare formulary experience with health plans/PBM.
• Knowledge of CMS rules and Medicare formulary processes.

Responsibilities

• Maintain Medicare formularies per CMS guidelines.
• Develop and maintain CMS formulary submissions and member lists.
• Prepare and review CMS files and utilization criteria.
• Collaborate across teams to ensure operational excellence.

Skills

Pharmacist collaboration

Communication

Cross-functional work

Education

Doctor of Pharmacy (PharmD)

Tools

Microsoft Excel

Job description

Judi Health in Charlotte, NC seeks a Formulary Operations Pharmacist - Medicare to support evaluation, implementation, and maintenance of Part D formularies and utilization management. This role requires CMS rules knowledge and cross-functional collaboration.

You will prepare CMS files, maintain formulary lists, and work across Medicare and non-Medicare lines, driving operational excellence in a hybrid setup with local flexibility.