Overview
Lumicera Health Services is seeking a Specialist, Formulary Operations to join our Formulary Services department!
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
- 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 assigned
Qualifications
A minimum of a High School diploma plus knowledge relating to pharmacy practice is requiredCPhT / experience as a pharmacy technician strongly preferredPrevious experience with pharmacy claims software is a definite plusMust 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 preferredStrong computer skills (Excel, Word, Outlook)Strong communication skills (verbal and written)Needs to work well both independently and in a team settingMust be able to exercise appropriate judgment as necessaryRequires a high level of initiative and creativityParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat can you expect from Lumicera?
Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program - up to $750!LI-Onsite
Location
Remote
Location : Country
US
Additional Details
Pay Range : USD $20.00 - USD $23.06 / Hr.
Work Schedule : M-F 8am to 5pm
Remote Work Notification : Navitus is 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.
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