Senior Pharmacist, Formulary Strategy & Management

Socket.dev; Long Beach (CA); Hybrid; USD 180,000 - 240,000; Full time

Job summary

Blue Shield of California is seeking a Senior Manager of Formulary Management to lead a team of pharmacists and operations specialists. The role focuses on CMS/Medicare formulary and UM submissions, SERFF filings, and cross‑functional implementation to improve affordability, quality, and member experience.

You will partner with analytics, product, actuary, and vendors to drive strategies and ensure compliance while supporting resident and student precepting.

Qualifications

• PharmD from US-accredited school; CA RPh license valid.
• 8+ years managed care pharmacy experience.
• 4+ years people management with direct reports.
• Experience with Medicare, CMS formulary and UM submissions.

Responsibilities

• Lead day-to-day formulary operations and team performance.
• Develop formulary strategies using clinical and data inputs.
• Oversee CMS/Medicare formulary and UM submissions and SERFF filings.
• Ensure accurate formulary installation and UM rules.
• Collaborate with analytics, product, actuary, and operations.
• Identify opportunities to improve quality and efficiency.
• Support pharmacy resident and student precepting.

Skills

People leadership

CMS knowledge

Data analysis

Regulatory compliance

Cross-functional collaboration

MS Office

Education

PharmD degree

California RPh license

Tools

SERFF submissions

MS Office Suite

Job description

Blue Shield of California is seeking a Senior Manager of Formulary Management to lead a team of pharmacists and operations specialists. The role focuses on CMS/Medicare formulary and UM submissions, SERFF filings, and cross‑functional implementation to improve affordability, quality, and member experience.

You will partner with analytics, product, actuary, and vendors to drive strategies and ensure compliance while supporting resident and student precepting.