Description
The Formulary Operations Management Professional 2 provides clinical and operational support for build, maintenance, submission, and management of formularies and drug lists. Work responsibilities are varied and frequently require interpretation and independent determination of the appropriate courses of action. Ensures accuracy of formularies and utilization management (UM) criteria in the Formulary Enterprise and claims processing systems. Collaborates with healthcare professionals, pharmacists, and other business functions to operationalize formularies. Performs formulary analysis and reporting to ensure optimal operational flow. Develops key performance indicators and plans to improve overall processes and efficiency. Creates and maintains formulary management process and training documentation.
Provides excellent service to our customers and stakeholders. This individual will support Humana's Commercial and Medicaid lines of business.
Responsibilities
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