Hybrid Formulary Business Analyst II

Posted last month

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About the role

  • Acts as liaison with clinical team to coordinate timely and accurate completion of various business deliverables.
  • Maintains clinical formulary/utilization management (prior authorization, step therapy & quantity limits) in web-based formulary management tool, Formulary Navigator.
  • Support communication of clinical program and formulary changes to members and providers as well as internal stakeholders.
  • Support quality assurance processes of clinical programs and formulary strategy
  • Support compliance with PBM Accreditation requirements
  • Support departmental compliance with state and federal regulations.
  • Conducts root cause analysis of processes and issues, identifies, and makes recommendations for improvements, and develops documentation.
  • Communicate plans, status, and issues within the team, group, or project, including business members and management.

Requirements

  • Requires a BS/BA degree in related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.
  • Experience with Excel skills strongly desired.
  • PBM or pharmacy experience (e.g. pharmacy technician, Formulary Product Manager) strongly preferred.
  • Experience with Medicaid formularies preferred.
  • Experience with Python, SAS, or SQL preferred.
  • Formulary Software tool (e.g. Formulary Navigator, RxFlex) experience strongly preferred.
  • For candidates working in person or virtually in the below location(s), the salary range for this specific position is $62,916 to $107,856.

Benefits

  • a comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase and 401k contribution
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical, dental, vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Formulary Business Analyst II

Job type

Experience level

JuniorMid level

Salary

$62,916 - $107,856 per year

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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