Specialist, Formulary Operations
at Navitus Health Solutions
Posted: 2-10-2025
Remote
Business Management and Operations
$44,366/year
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About this Career
Production, Planning, and Expediting Clerks
Skills
Auditing, Web Portals, Client Services, Certified Pharmacy Technician, Pharmacy Experience, Claims Processing, National Drug Code (NDC), Communication, Utilization Management, Microsoft Outlook, Electronic Prescription (eRx), Creativity, Managed Care, Step Therapy, Administrative Functions, Operations, Pharmacy Operations, Microsoft Excel, Computer Literacy
Job Description
Specialist, Formulary Operations Navitus Health Solutions, LLC - 3.2 Madison, WI Job Details Full-time $19.60 - $23.06 an hour 1 day ago Benefits Paid parental leave Paid holidays Health insurance Dental insurance Flexible spending account Paid time off Adoption assistance Parental leave Vision insurance 401(k) matching Qualifications Microsoft Excel Microsoft Outlook Mid-level Pharmacy technician experience High school diploma or GED Utilization management Computer skills Pharmacy Technician Certification Communication skills
Full Job Description Company:
Navitus About Us:
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.Pay Range:
USD $19.60 - USD $23.06 /Hr. Work Schedule Description (e.g. M-F 8am to 5pm): M-F 8am to 5pmRemote Work Notification:
ATTENTION
We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.Overview:
Navitus Health Solutions is seeking a Specialist, Formulary Operations to join our team! The Specialist, Formulary Operations will perform the daily, weekly, and monthly/periodic administrative functions necessary to update and maintain the formularies for Navitus' clients for all lines of business. This includes working with the Formulary Services Supervisors to make all changes to the formulary information accessed by clients, as well as day to day formulary maintenance; and having advisory input to how this information is presented, maintained, and reviewed. Is this you? Find out more below!Responsibilities:
How do I make an impact on my team? Take formulary information from various sources including the Pharmacy and Therapeutics Committee, the Formulary Advisory Committee, and Clinical Account Executives to coordinate the process of entering the information into the formulary change database and communicating changes to Benefits Systems and Auditing Maintain up-to-date formulary documents available through multiple resources including ePocrates, web portals, and e-prescribing Review weekly Medispan Reports for new drugs and drug changes that impact the formulary Collaborate with clinical and client services throughout new client implementations to capture the formulary information needed for plan set-up Trouble-shoot various formulary / set-up questions Approximate travel required (5-10%) Other duties as assignedQualifications:
What our team expects from you? A minimum of a High School diploma plus knowledge relating to pharmacy practice is required CPhT/experience as a pharmacy technician strongly preferred Previous experience with pharmacy claims software is a definite plus Must have a working knowledge of pharmacy practice including drug names (brand vs. generic, NDC, GPI) and claims processing background (either from managed care or community practice) Familiarity with Formulary, Prior Authorization, Step Therapy, and other utilization management tools preferred Strong computer skills (Excel, Word, Outlook) Strong communication skills (verbal and written) Needs to work well both independently and in a team setting Must be able to exercise appropriate judgment as necessary Requires a high level of initiative and creativity Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account #LI-Remote We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.Location :
Address:
361Integrity Drive Location :
City:
Madison Location :
State/Province:
WI Location :
Postal Code:
53717Location :
Country:
USOther Job Posting Details
Salary
Minimum
Maximum
$40,768/yr
$47,965/yr