May 30, 2020

Senior Formulary Analyst

  • Professional Diversity Network
  • Northbrook, IL 60062, USA

Job Description

CVS Health

Job DescriptionAs a Senior Formulary Analyst, you will perform a critical role in the management of the Health Exchanges formulary. Key functions include CMS approved formulary file management, performing client-specific reporting, formulary analysis tools, directing adjudication changes, and providing formulary related guidance for modified template formularies. You will work closely with the clinical team in the development and maintenance of the template Health Exchanges formularies. This position will adhere to strict CMS deadlines and quality measures. As a Senior Formulary Analyst, you will be responsible for the following: - Building/maintaining formularies and drug lists in formulary management system - Creation of formulary submission files to the state or federal governing bodies - Providing expertise in formulary management system and prescription drug data - Advanced formulary analysis and reporting - Working with clinical and business professionals in a complex organizationRequired Qualifications- 5+ years of professional work experience - 2+ years of experience with PBM, Pharmacy, or relevant field - 1+ years of experience with ExcelPreferred Qualifications- 1+ year formulary management experience - Experience with Health Exchanges or Part D formulary management- Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on the RxClaim adjudication platform- Access experienceEducationBachelor's Degree required.Business OverviewIt's a new day in health care. Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation's premier health innovation company. Through our health services, insurance plans and community pharmacists, we're pioneering a bold new approach to total health. As a CVS Health colleague, you'll be at the center of it all. At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country's health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability. CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. Please note that we only accept applications for employment via this site. We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511. If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or

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