Pharmacy Formulary Operations Specialist

Capital Rx; Charlotte (NC); On-site; USD 70,000 - 85,000; Full time

Job summary

Judi Health seeks a Pharmacy Technician to join the Formulary Operations team, supporting weekly to quarterly maintenance of formularies for Commercial, Medicaid, Medicare Part D and Health Information Marketplace. You will assist pharmacists, triage Salesforce cases, and manage adjudication data in the formulary management tool from our Charlotte, NC location.

The role requires a registered Pharmacy Technician license and 3–4 years in pharmacy with PBM/health plan experience; proficiency in

Qualifications

• Licensed Pharmacy Technician (registered)
• Experience with PBM/health plan formulary processes preferred
• Proficient in handling large datasets and pharmacy terminology

Responsibilities

• Maintain and QA standard and custom formularies across lines of business
• Assist pharmacists in operationalizing client formulary requests in the adjudication platform
• Triages Salesforce cases for formularies and monitors the Formulary Operations inbox
• Upload formulary data in adjudication platform and test with Benefits team
• Support claim troubleshooting through the adjudication platform
• Create job aids and maintain SharePoint sites
• Ensure formulary accuracy and participate in QA projects

Skills

Pharmacy operations

Microsoft Excel

Data analysis

Education

Certified Pharmacy Technician

Tools

Microsoft Office

Excel VBA

Job description

Judi Health seeks a Pharmacy Technician to join the Formulary Operations team, supporting weekly to quarterly maintenance of formularies for Commercial, Medicaid, Medicare Part D and Health Information Marketplace. You will assist pharmacists, triage Salesforce cases, and manage adjudication data in the formulary management tool from our Charlotte, NC location.

The role requires a registered Pharmacy Technician license and 3–4 years in pharmacy with PBM/health plan experience; proficiency in