Pharmacy Formulary Specialist | Data & QA

Capital Rx; Denver (CO); On-site; USD 70,000 - 85,000; Full time

Job summary

Judi Health is seeking a licensed Pharmacy Technician to join our formulary operations team. You will support maintenance checks for formularies across commercial, Medicaid, Medicare Part D, and the Health Information Marketplace, assist pharmacists with client formulary requests, triage Salesforce cases, and help ensure formulary accuracy.

Responsibilities include data entry in adjudication platforms, updating NDCs, supporting marketing materials, and creating job aids.

Qualifications

• Licensed Pharmacy Technician with current registration.
• Experience supporting PBM/health plan formulary processes is highly preferred.
• Proficient with Microsoft Excel, VBA, and data handling for large datasets.

Responsibilities

• Support weekly, monthly, and quarterly maintenance and QA checks of standard and custom formularies across lines of business.
• Assist pharmacists in operationalizing client formulary requests within the adjudication platform.
• Triage and monitor Salesforce cases for formulary needs and resolve issues.
• Upload formulary composites and support testing by updating adjudication data.
• Assist with cross-functional claim troubleshooting via the adjudication platform.
• Review testing outputs for formulary accuracy and maintain marketing materials.

Skills

Advanced Excel

VBA

Macros

Microsoft Office

Education

Registered Pharmacy Technician license

PTCB certification

Tools

Salesforce

Adjudication platform

Medispan

Formulary management tool

SharePoint

Job description

Judi Health is seeking a licensed Pharmacy Technician to join our formulary operations team. You will support maintenance checks for formularies across commercial, Medicaid, Medicare Part D, and the Health Information Marketplace, assist pharmacists with client formulary requests, triage Salesforce cases, and help ensure formulary accuracy.

Responsibilities include data entry in adjudication platforms, updating NDCs, supporting marketing materials, and creating job aids.