Judi Health
Formulary Operations Pharmacist
$125K–$140K
Charlotte, North Carolina, United States +5 · Full-time · Posted Jul 23, 2026
- Location
- Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States
Charlotte, North Carolina, United States
Denver, Colorado, United States
New York, New York, United States - Experience
- 2+ years of Medicare formulary experience working for a health plan or PBM.
- Education
- Doctor of Pharmacy (PharmD) Degree from an accredited institution.
About the job
Provides operational and clinical support for Medicare Part D formularies and utilization management, including CMS submissions, implementation, quality control, and regulatory compliance.
What you'll do
- Maintain and quality-check Medicare formularies, utilization management criteria, and clinical adjudication drug lists.
- Prepare CMS formulary submissions and member-facing formulary materials; support regulatory reporting and audits.
- Evaluate drugs, formulary strategies, and client benefit changes; support testing, implementation, claims troubleshooting, and process improvement.
What they ask for
- Doctor of Pharmacy (PharmD) Degree from an accredited institution.
- Current, unrestricted registered pharmacist license(s).
- 2+ years of Medicare formulary experience working for a health plan or PBM.
- Experience working with large datasets; proficiency in Microsoft office suite, with strong emphasis in Microsoft Excel.
Nice to have
- Residency/fellowship.
- Knowledge of highly managed specialty medications/strategy and rebate and financial implications of formulary strategies.
Pay
$125,000 — $140,000 USD (base salary); $125,000 — $140,000 USD (base salary); $125,000 — $140,000 USD (base salary); $125,000 — $140,000 USD (base salary)
Tools
Microsoft office suite, Microsoft Excel, Health Plan Management System (HPMS)
Model-written summary · the original posting is authoritative