UNITAS

Director

• Oversee the development and maintenance of custom formularies for all non-Medicare lines of business including Commercial, Medicaid, and Health Information Marketplace/Exchange
• Monitor and analyze regulatory and legislative requirements, develop project plans to meet requirements, and lead cross functional teams to implement programs to meet requirements
• Oversee the implementation and maintenance of custom and standard formularies
• Supports relationship with external partners/vendors (P&T, rebate aggregator, formulary management tool, etc.)
• Facilitate communication to and education of clients, members, and internal staff regarding clinical issues and objectives
• Supervise and coach direct reports in the performance of their duties including performance reviews and feedback to direct reports
• Develop clinical criteria for review of non-formulary or non-preferred drug lists and communicate recommendations to clients
• Evaluate drugs/drug classes and make formulary positioning and utilization management recommendations and formulary management strategies
• Provide support to operational teams and clients during implementation
• Analyze and interpret prescription claims data to identify opportunities to improve existing formulary management strategies
• Supports quality improvement and clinical value projects, as required
• Support Pharmacy and Therapeutics (P&T) committee items, as required
• Support RFI and RFP submissions, as required
• Support general business needs and operations, as required
• Responsible for adherence to the company Code of Conduct including reporting of noncompliance.

Associate Director – Formulary Management