Formulary Analyst

Virginia, Utah, Arizona

Job Description

The Formulary Analyst represents Benefits Administration, participating in the full life cycle of formulary and clinical program development by assisting with benefit related requirements, impact analysis, advising and helping formulate process developments, responsible for formulary implementation within the Benefits landscape as well as appropriate formulary maintenance and testing. Serves as the Liaison between Plan Administration, Clinical, and IT Teams.

Essential Functions


-Serves as a SME interface between Benefits Administration and the Clinical team in the development of clinical programs and formulary management changes.
-Provides Benefit Administration related build and maintenance support for assigned clinical programs.
-Represents Benefit Administration in working with the Clinical team on clinical requirements development and deployment.
-Serves as a skilled clinical resource in support of non-clinical team members.
-Identifies the common causes of the defects, prioritizes them and systematically removes defects to avoid recurrences in further development work.
-Works with Clinical team to understand the customer?s product-specific requirements and configuration and translates them to benefit technical design specifications and data flow from which programs are developed and coded.
-Codes, tests, debugs, implements and documents programs or technical configuration.
-Interacts with Clinical and IT development teams during the software build or configuration and testing process.
-Performs technical application configuration and produces formulary based benefit related reports at user request.
-Designs and executes unit, system and integration test plans for new formulary based benefit related developments/releases/reports.
-Maintains formulary related technical documentation based on standard operating procedures in support of the assigned clinical application.
-Assumes complete ownership for the assigned task and communicates the progress of the project plan / task to all stakeholders regularly.
-Works closely with end users to identify problems and provide solutions.
-Demonstrates an understanding of end users business needs and works closely with end users to identify problems and provide solutions.
-Performs other duties as assigned.

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General Job Information

Title

Formulary Analyst

Grade

22

Job Family

Pharmacy Group

Country

United States of America

FLSA Status

United States of America (Exempt)

Recruiting Start Date

8/15/2019

Date Requisition Created

8/15/2019

Work Experience

Pharmacy

Education

Bachelors: Business Administration

License and Certifications - Required

License and Certifications - Preferred

CPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

Other Job Requirements

Responsibilities

Experience with data analysis, programming frameworks or other end-user reporting programs and creating macros in spreadsheet environments. Minimum of 2 years of experience within a technology environment, preferably within a healthcare setting. Ability to operationalize process improvements.Minimum 5+ years of PBM experience. Minimum 2 years of pharmacy and/or pharmacy information systems experience.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

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