SmithRx
Formulary Operations Specialist
On-site
Full Time
#Excel
#Operations Specialist
#MS Office
#Claims Management
SmithRx is looking for a Formulary Operations Specialist
Full TimeMid-LevelOn-siteUnited StatesExcelOperations SpecialistMS OfficeClaims ManagementEnglish401kCommuter benefitsDental insuranceEmployee assistance programLife insuranceMaternity/paternity leaveMedical insurancePaid time offProfessional developmentVision insuranceWellness programs
We are SmithRx, a fast-growing, venture-backed health-tech firm dedicated to transforming the pharmacy benefit management industry. Since 2016, we have supported hundreds of thousands of members by leveraging innovative technology and cost-saving tools to create a more efficient drug acquisition platform. We are currently looking for a Formulary Operations Specialist to join our team in a full-time, on-site capacity. In this role, you will act as our internal subject matter expert, working alongside clinicians to implement formulary strategies that prioritize both clinical quality and cost-effectiveness.
Responsibilities
- Manage and maintain drug lists and formularies across our various systems to ensure accurate adjudication.
- Execute formulary updates and configure utilization management edits while coordinating with our engineering team on system enhancements.
- Lead testing initiatives and facilitate clear communication regarding program changes to both internal stakeholders and external partners.
Requirements
- You have 2 to 4 years of experience specifically within pharmacy benefit management or formulary operations.
- You possess a solid understanding of clinical pharmacy formularies, drug files like Medispan or First Databank, and pharmacy programs.
- You are highly proficient in Excel and the broader MS Office suite.
- You are exceptionally detail-oriented and organized, with the ability to manage complex workflows independently.
- A Pharmacy Technician Certification or Project Management Certification is preferred for this position.
What we offer
- Comprehensive health coverage, including medical, dental, and vision insurance.
- Financial security through our 401k program and life insurance options.
- Generous paid time off and maternity or paternity leave.
- Support for your personal and professional growth through wellness programs, an employee assistance program, and dedicated professional development opportunities.
- Practical perks such as commuter benefits to support your daily travel.
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