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Job opportunity
Formulary Administration Specialist
San Diego, CA; WM1 - San Diego
Source: MedImpact careers · View original posting
- Employment
- full time
Employer job description
From MedImpact's posting. “We” and “our” refer to the employer.
Exemption Status:
United States of America (Exempt)
$60,987 - $80,808 - $100,628
“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Job Description
Summary
The Formulary Administration Specialist I participates in the design and validation of pharmacy benefit management plans. This position ensures accurate coding of plan specific information into formulary systems and provides comprehensive support to external clients related to formulary change requests. Ensures appropriate service levels are maintained to meet corporate standards for performance and quality.
Essential Duties and Responsibilities include the following.
Drug Updates for Commercial Clients:
o Review weekly/monthly/quarterly drug update projects.
o Prepare weekly/monthly/quarterly formulary files for pharmacist review.
o Monitors/updates Drug Rules and Auto-Coding rules.
o Research and respond to client inquiries; escalates to managers/pharmacists for complex issues.
Formulary Mailbox and Client Management Platform:
o Triages inquiries; serves as a resource for troubleshooting basic issues; escalates to managers/pharmacists for complex issues.
o Drafts client communication to be reviewed by management; customizes templates with client instructions including clarification of roles/responsibilities between MedImpact and the client; prepares routine client responses to email and case queries.
Negative Formulary Changes Process:
About this listing
LAYIQ is an independent job-discovery service. This listing does not imply a partnership with or endorsement by the employer. Review the original posting for current details and availability.
Employer posted:
Listing check
- Employer posted
- · 1 day ago
- Status
- Listed as a current opening
- Apply goes to
- Workday, the employer's hiring system