Talent.com
Specialist, Formulary Operations
Specialist, Formulary OperationsNavitus Health Solutions • Madison, WI, US
No longer accepting applications
Specialist, Formulary Operations

Specialist, Formulary Operations

Navitus Health Solutions • Madison, WI, US
14 hours ago
Job type
  • Full-time
Job description

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 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 Lumicera?

  • 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
  • Educational Assistance Plan and Professional Membership assistance
  • Referral 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.

    J-18808-Ljbffr

    Create a job alert for this search

    Operation Specialist • Madison, WI, US

    Related jobs
    Director, Operations

    Director, Operations

    Mtm • Middleton, WI, US
    Full-time
    At MTM Health, we are not just colleagues; we are collaborators on a shared mission; communities without barriers.We have exciting opportunities to join our growing team where your work has a direc...Show more
    Last updated: 30+ days ago • Promoted
    Director of Strategic Portfolio Operations

    Director of Strategic Portfolio Operations

    Wisconsin Staffing • Madison, WI, US
    Full-time
    Director Of Strategic Portfolio Operations.We are igniting business growth by connecting people, data and applications quickly, securely, and effortlessly. Together, we are building a culture and c...Show more
    Last updated: 1 day ago • Promoted
    Operations Management Trainee

    Operations Management Trainee

    Alter Trading Corp • Madison, WI, US
    Full-time
    Ready to Lead in Metal Recycling?.Alter Trading’s hands-on Management Trainee Program is your fast track to running a department or facility at one of the nation’s leading scrap metal r...Show more
    Last updated: 20 days ago • Promoted
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDash • Mount Horeb, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 1 day ago • Promoted
    Delivery Driver - Flexible Onboarding

    Delivery Driver - Flexible Onboarding

    DoorDash • Brodhead, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 1 day ago • Promoted
    Delivery Driver - Flexible Schedule

    Delivery Driver - Flexible Schedule

    DoorDash • Monroe, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 30+ days ago • Promoted
    Restaurant Delivery - Sign Up in Minutes

    Restaurant Delivery - Sign Up in Minutes

    DoorDash • Brodhead, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 1 day ago • Promoted
    Operations Trainer

    Operations Trainer

    Medica • Madison, WI, US
    Full-time
    Medica's Operations Trainer performs technical, systems, transactional and industry specific training for the operations organization including analyzing business outcomes due to implementation of ...Show more
    Last updated: 21 days ago • Promoted
    Restaurant Delivery - Flexible Schedule

    Restaurant Delivery - Flexible Schedule

    DoorDash • Monroe, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 30+ days ago • Promoted
    Senior Manager, Pharma Services Growth

    Senior Manager, Pharma Services Growth

    Wisconsin Staffing • Madison, WI, US
    Full-time
    Senior Manager, Pharma Services Growth.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transformin...Show more
    Last updated: 1 day ago • Promoted
    Fulfillment Specialist Specialty

    Fulfillment Specialist Specialty

    Wisconsin Staffing • Madison, WI, US
    Full-time
    Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team membe...Show more
    Last updated: 1 day ago • Promoted
    Director Fulfillment Centers

    Director Fulfillment Centers

    Wisconsin Staffing • Beloit, WI, US
    Full-time
    Staples Fulfillment Center Manager.Veterans encouraged to apply! Current Associates are not eligible for Retention or Sign On Bonuses. Staples is business to business.Join our Staples World Class Su...Show more
    Last updated: 1 day ago • Promoted
    Fulfillment Coordinator

    Fulfillment Coordinator

    GSP North America • Madison, WI, US
    Full-time
    Quick Apply
    We are seeking a dedicated and detail-oriented Fulfillment Coordinator to join our team in Madison, WI, 53704.In this role, you will play a crucial part in ensuring that our products are delivered ...Show more
    Last updated: 18 hours ago • New!
    Distribution Services Specialist

    Distribution Services Specialist

    Wisconsin Staffing • Madison, WI, US
    Full-time
    Job Requirements : Job Description.Job Objective : To ensure timely receipt, safe and efficient recording, handling and distribution of materials throughout Promega's Madison campus warehouses.Receiv...Show more
    Last updated: 1 day ago • Promoted
    Director of Pharmacy Operations

    Director of Pharmacy Operations

    M3 Insurance • Madison, WI, US
    Full-time
    Director Of Pharmacy Operations.Are you looking for a rewarding leadership role as a Director of Pharmacy Operations? Are you ready to propel your career into the dynamic world of pharmacy benefit ...Show more
    Last updated: 19 days ago • Promoted
    Advisor, Finance Operations (Cash Application)

    Advisor, Finance Operations (Cash Application)

    Wisconsin Staffing • Madison, WI, US
    Full-time
    Finance Operations oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial reports, oversees fin...Show more
    Last updated: 1 day ago • Promoted
    Continuous Improvement Specialist

    Continuous Improvement Specialist

    Genus PLC • Deforest, WI, US
    Full-time
    Continuous Improvement (CI) Specialist.This position is responsible for identifying, leading, and coaching process improvement initiatives across the organization. Reporting to the Global CI & QA Ma...Show more
    Last updated: 12 days ago • Promoted
    Dashers - Sign Up and Start Earning

    Dashers - Sign Up and Start Earning

    DoorDash • Brodhead, WI, United States
    Full-time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...Show more
    Last updated: 1 day ago • Promoted