Remote Pharmacist: Formulary & Utilization Specialist

Aetna; Richmond (VA); Remote; USD 27,552 - 41,328; Full time

Job summary

Aetna is seeking a Pharmacist to design formulary and utilization management applications in partnership with health plan stakeholders. The role requires PBM experience, formulary knowledge, and strong MS Word/Excel skills.

The position supports remote work from Richmond, with professional collaboration across teams on clinical standards. The ideal candidate holds a PharmD or equivalent, with 1+ year of pharmacist experience in PBM or managed care and demonstrated ability to drive client

Qualifications

• Pharmacist license valid and in good standing.
• 1+ years pharmacist experience in PBM or managed care.
• 1+ year UM and Formulary experience in PBM placements.
• 1+ year using MS Word, Excel, and Outlook for revenue creating/updating spreadsheets.

Responsibilities

• Designing formulary and utilization management applications with health plan stakeholders.
• Collaborate with benefits managers to clarify clinical requirements and improve formulary controls.
• Review and obtain client approvals for formulary design and usage edits.
• Advise clients on formulary options and utilization management edits.

Skills

Pharmacist license

UM experience

Formulary experience

Customer service

Education

PharmD or equivalent

Tools

MS Word

Excel

Outlook

Job description

Aetna is seeking a Pharmacist to design formulary and utilization management applications in partnership with health plan stakeholders. The role requires PBM experience, formulary knowledge, and strong MS Word/Excel skills.

The position supports remote work from Richmond, with professional collaboration across teams on clinical standards. The ideal candidate holds a PharmD or equivalent, with 1+ year of pharmacist experience in PBM or managed care and demonstrated ability to drive client