Director of Threat Intelligence Operations
Apollo Global Management, Inc.
Specialist, Formulary Operations
Navitus Health Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • Idaho • 🇺🇸 United States
Visit company websiteSalary
💰 $20 - $23 per hour
Job Level
Mid-LevelSenior
About the role
- 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
Requirements
- 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
Benefits
- 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!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
pharmacy practiceclaims processingformulary managementdrug namesNDCGPIutilization managementpharmacy claims softwaree-prescribingtroubleshooting
Soft skills
communicationindependenceteamworkjudgmentinitiativecreativitycooperationrespectfulness
Certifications
CPhT
