Formulary Operations Pharmacist

Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area)

Position Overview

We are seeking a detail-oriented and collaborative Formulary Operations Pharmacist to support clinical and operational initiatives across Judi Rx, with a primary focus on the low-cost alternative program. This role will help maintain and expand clinically appropriate low-cost alternative opportunities, support program reporting and performance tracking, and partner cross-functionally to improve workflows that drive savings for members and plan sponsors. The pharmacist will also continue to support formulary disruption, implementation of new formularies, standard commercial formulary operations, sales-related requests, and other Formulary Operations priorities as needed.

Key Responsibilities

• Support day-to-day management and ongoing optimization of the low-cost alternative program, including maintenance of target drug and alternative lists.
• Evaluate high-cost medications and identify clinically appropriate, formulary-aligned lower-cost alternatives that may reduce spend for members and plan sponsors.
• Analyze claims data, test claim results, opportunity volume, savings outputs, and intervention results to monitor program performance, identify trends, and support dashboard creation and maintenance for the low-cost alternative program and other formulary-focused initiatives.
• Partner with Product, Analytics, Clinical Programs, Benefits, and other internal teams to improve low-cost alternative program logic, implementation workflows, reporting, and member/prescriber engagement processes.
• Support client-specific low-cost alternative program requests, including custom drug list reviews, program expansion opportunities, savings analyses, and questions from account management or sales teams.
• Help document program methodology, operational processes, and workflow updates to support consistent execution and scalable program growth.
• Lead or support clinical operations responses for Requests for Proposal (RFPs), Requests for Information (RFIs), and other sales-related inquiries, with emphasis on formulary programs and cost-containment solutions.
• Serve as a clinical operations liaison for ad hoc sales, implementation, account management, and client support requests.
• Enhance and refine formulary disruption processes for new and existing clients, including review of member and prescriber impact analyses and identification of clinically appropriate alternatives.
• Support implementation of new formularies as needed, including clinical review and coordination with internal teams.
• Collaborate with Judi Rx’s Underwriting team to review disruption templates and provide clinical feedback to support accuracy, clarity, and appropriate assumptions.
• Support standard commercial formulary operations, quality improvement, clinical value, Pharmacy and Therapeutics (P&T), and general Formulary Operations projects, as required.

Required Qualifications

• Doctor of Pharmacy (PharmD) Degree from an accredited institution, with record of strong academic performance
• Current, unrestricted registered pharmacist license(s)
• Residency/fellowship preferred
• Minimum 1-2 years of pharmacy experience working for a health plan or PBM
• Understanding of formulary management, claims data analysis, and drug utilization strategies.
• Experience supporting formulary-related clinical program operations, including workflow design, implementation support, performance monitoring, and ongoing optimization in partnership with cross-functional teams.
• Excellent communication skills, both written and verbal.
• Ability to manage multiple complex projects, timelines, and stakeholder requests simultaneously
• Strong collaboration skills and ability to work effectively across cross-functional teams
• Ability to evaluate clinical appropriateness of lower-cost medication alternatives and apply formulary strategy considerations.
• Experience using claims data, reporting outputs, or Excel-based analyses to support operational decision-making preferred.

Preferred Characteristics

• Detail-oriented and comfortable working through complex clinical, formulary, and claims data questions.
• Proactive in identifying opportunities to improve programs, streamline workflows, and reduce manual work.
• Strong clinical judgment with the ability to evaluate lower-cost alternatives while considering member impact, formulary alignment, and operational feasibility.
• Comfortable partnering with cross-functional teams and explaining clinical or operational recommendations clearly to different audiences.
• Curious, solution-oriented, and willing to dig into details to understand root causes and develop practical recommendations.