Senior Formulary Analyst

Job Description
Currently remote position. Will be a telework position once COVID restrictions are lifted.

Schedule: Monday - Friday, standard business hours.
Must reside near the Buffalo Grove or the Scottsdale, Arizona office.

As a Senior Formulary Analyst, you will perform a critical role in the management of Commercial, Managed Medicaid, and 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 CVS Health 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 organization

Required Qualifications
- 5+ years of professional work experience
- 2+ years of experience with PBM, Pharmacy, or relevant field
- 1+ years of experience with Excel

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
- 1+ year formulary management experience
- Experience with Health Exchanges or Medicaid formulary management
- Experience with CVS Health business systems, claims adjudication, formulary, drug, and client systems with an emphasis on the RxClaim adjudication platform
- Microsoft Access experience

Education
High school diploma/GED required.
Bachelor's degree preferred

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.