Formulary Management Coordinator
Current• Support the Pharmacy team in maintaining each of Moda’s 36 custom formularies (Commercial, ACA/Exchange, and Medicaid lines of business)• Responsible for the maintenance of online formulary data and communicating all formulary updatesto the pharmacy benefit manager (PBM) for programming into the claims adjudication system• Communicate all formulary and utilization management changes on a weekly, quarterly, and semi-annual basis• Represent Pharmacy Operations in meetings and on applicable committees as assigned• Take formulary information from various sources including the Formulary Advisory Committee, PBM account liaisons, and clinical team to coordinate the process of submitting formulary change requests to PBM and communicating changes to internal teams• Maintain up-to-date formulary documents available through multiple internal and external-facing sites• Review weekly Medispan Reports for new drugs and drug changes that impact the formulary• Troubleshoot various formulary / setup questions