Actuary • long beach ca
The Formulary Strategy and Management team develops and maintains formularies that support competitive health plan products, manage health care costs, and meet regulatory requirements across Commer... Show more
The Actuarial, Underwriting, and Financial Analytics team oversees our finance operations, underwriting, analytics, actuary, corporate development, cost of healthcare, global business services, int... Show more
Senior Manager, Pharmacist of Formulary Management.The Formulary Strategy and Management team develops and maintains formularies that support competitive health plan products, manage health care co... Show more
The Actuarial, Underwriting, and Financial Analytics team oversees our finance operations, underwriting, analytics, actuary, corporate development, cost of healthcare, global business services, int... Show more
The average salary range is between $ 147,800 and $ 233,600 year , with the average salary hovering around $ 173,900 year .
The average salary range is between $ 120,000 and $ 184,676 year , with the average salary hovering around $ 142,176 year .
Your Role
The Formulary Strategy and Management team develops and maintains formularies that support competitive health plan products, manage health care costs, and meet regulatory requirements across Commercial Large Group, Commercial Small Group, Individual/Family, and Medicare lines of business. The Senior Manager, Pharmacist of Formulary Management reports to the Director, Formulary Strategy and Pharmacy & Therapeutics.
In this role, you will lead a team of pharmacists and operations specialists responsible for formulary operations, Centers for Medicare & Medicaid Services (CMS)/Medicare formulary and utilization management (UM) submissions, System for Electronic Rates and Forms Filing (SERFF) submissions, formulary and UM implementation and adjudication accuracy. You will partner with analytics, product, actuary, operations, vendors, and other business partners to develop and execute strategies that improve affordability, quality, compliance, and member experience.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
