Source Job

Unlimited PTO

  • Execute complex formulary coding within adjudication systems.
  • Utilize Advanced Excel and Google Sheets to manipulate large datasets.
  • Manage multiple high-priority projects simultaneously.

Excel Google Sheets Data Management PBM Analytical Thinking

19 jobs similar to Formulary Operations Analyst

Jobs ranked by similarity.

US

  • Develop and maintain complex spreadsheets in Excel, utilizing advanced formulas and functions to support data analysis and reporting.
  • Troubleshoot and resolve reporting errors and data discrepancies within client-facing dashboards.
  • Maintain and enhance the existing Python codebase to support reporting, automation, and data workflows.

NBCUniversal is a leading media and entertainment company creating world-class content across film, television, and streaming. They own brands like NBC, Telemundo, Bravo, and Universal Studios and are a subsidiary of Comcast Corporation, committed to improving communities and championing an inclusive culture.

US

  • Manage data requests from the Pricing Operations team.
  • Analyze large data sets and deliver clear, insightful reporting.
  • Build and maintain pricing and comparison models.

Ivanti's platform empowers organizations to stay productive, secure, and engaged wherever they are. With offices around the world and employees spanning 25 countries, they help customers automate, manage, secure, and service IT assets—enabling leaders in digital transformation to operate with confidence and agility.

US

  • Execute daily systems operations and maintenance as assigned.
  • Monitor stock levels and implement corrective actions.
  • Conduct ad hoc analysis of escalated business scenarios and critical SKUs.

Brightspeed provides fast, reliable internet connections and customer experience in twenty states throughout the Midwest and South. They are backed by funds managed by Apollo Global Management and are upgrading copper to fiber optic technologies in rural markets. Brightspeed is opening a new corporate HQ and is committed to diversity, equity and inclusion.

Canada

  • Maintain and update the Master Tracker for all SKUs.
  • Partner with brand teams to track and organize PDP assets.
  • Conduct routine system and content audits to ensure data accuracy.

Brand Momentum is a leading Sales, Marketing, and Retail agency with headquarters in Toronto and Montreal, fostering authentic and enduring human connections across the nation. They have won Canada's Top 100 Best Workplaces® three times and are one of Canada's fastest-growing companies, reflecting their commitment to goodness.

$77,099–$92,519/yr
US

  • Provides support to the Network Provider Operations department with daily operations, project initiatives, system updates, special projects, and all regulatory reporting and analysis.
  • Audits departmental operations with a focus on data integrity, improving accuracy, and identifying training opportunities for department.
  • Leads system upgrades and implementations for the department, and provide technical support as needed.

Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. They are part of MJHS, a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.

US Unlimited PTO

  • Independently ascertain how to query the necessary data from large data sets and generate ad hoc analysis with clear insights
  • Leverage historical claims data and provide reprice reporting that allows for assessment and risk management
  • Ensure high quality, “client ready” deliverables through an audit/evaluation process and personal accountability

SmithRx is a rapidly growing, venture-backed Health-Tech company. Their mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.

$64,600–$100,430/yr
US

  • Work with distributors and local and direct supply partners to collect catalog data.
  • Research, resolve or escalate 1st level support for suppliers and unit managers on eProcurement system.
  • Generate reports and provide data as needed for monthly billing, audit and as requested.

Sodexo aims to create a better everyday life for everyone and build a better life for all. They provide food service, catering, facilities management, and other integrated solutions worldwide. They value their employees for who they are and embrace diversity and inclusion as core values.

$106,400–$131,000/yr
US 18w maternity 16w paternity

  • Manage recurring Rev Org reports.
  • Build analytical models to set future goals.
  • Proactively assess trends & gaps in our data.

Spring Health aims to revolutionize mental healthcare by removing barriers to access. They partner with over 450 companies and offer mental health services to 10 million people, with a valuation of $3.3 billion after their Series E Funding.

US

  • Maintain our working spreadsheet of all current contractors including SOW start/end dates and rate information.
  • Proactively track SOW expiration dates and reach out to business to confirm intent to extend or terminate.
  • Ensure we have SOWs for all active contractors and that they are active and not expired, appropriately file in the shared folder with the Legal team.

HealthEdge is committed to building an environment and culture that supports the diverse representation of their teams. They aspire to have an inclusive workplace where all employees have the opportunity to belong, make an impact and deliver excellent software and services.

US

  • Monitor provider data quality and identify systemic issues.
  • Develop and maintain data validation rules and quality checks.
  • Analyze provider data discrepancies and lead root cause investigations.

Massachusetts General is a healthcare organization. They seem to value professional growth and provide opportunities for career development.

US

  • Assist and/or develop new reports or analysis.
  • Support the implementation and on-going activities of vendor operations and analytics tools.
  • Collaborate with Actuarial to project and monitor the impact of coding programs on revenue for forecasting and monthly financial statement accruals.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA.”

US

  • Manages a queue of incoming documents to create new clients, update existing clients, and send interdepartmental tasks in the CRM system.
  • Requires frequent use of Provider Portals and multiple internal databases and document retrieval systems.
  • Operates within a service level agreement managing speed to start entry while observing various agency specific handling procedures maintaining the highest level of accuracy for billing and compliance purposes.

Mom's Meals is a company focused on providing nutrition solutions. They appear to value community support based on the job descriptions.

Europe 6w PTO

  • Support the continuous optimization of our pricing strategies.
  • Monitor and analyze KPIs such as revenue and total contribution.
  • Work with large data sets in Excel and R, preparing structured analyses.

Redcare Pharmacy is Europe’s No.1 e-pharmacy and is powered by passionate teams and cutting-edge innovation. They strive to create a healthy collaborative work environment where every employee feels valued and inspired to contribute to their vision “Until every human has their health”.

US 4w PTO

  • Monitor key growth and competitiveness metrics and recommend improvements.
  • Analyze data from various sources and turn it into meaningful qualitative insights.
  • Communicate technical work clearly to both technical and non-technical audiences.

Liberty Mutual strives to create a workplace where everyone feels valued and supported. They foster an inclusive environment with comprehensive benefits, flexibility, and professional development opportunities.

US

  • Initiate communication to communities regarding expensive and non-formulary medication orders.
  • Keep detailed records of all orders that require communication to the community.
  • Review Medicare D rejections and prior authorizations, and coordinate with pharmacists or physicians.

Symbria Rx Services delivers patient-centered care to the geriatric population in senior-living and post-acute settings. As one of the few 100% employee-owned companies in healthcare, our business practices are guided strictly by the values to which our employee owners are committed to.

$46,650–$55,350/yr
Canada

  • Consolidate data from various sources, analyze it, and present findings in an easy-to-understand format
  • Collaborate closely with the sales and account management teams to guarantee the successful execution of advertising campaigns
  • Troubleshoot technical campaign issues for high-value clients

StackAdapt is the leading technology company that empowers marketers to reach, engage, and convert audiences with precision. With 465 billion automated optimizations per second, their AI-powered Marketing Platform seamlessly connects brand and performance marketing to drive measurable results across the entire customer journey. StackAdapt is a diverse and inclusive team of collaborative, hardworking individuals trying to make a dent in the universe.

US Unlimited PTO

  • Analyze and support non-clinical workflows across CM, CDM, and UM programs.
  • Translate operational and clinical requirements into process maps, SOPs, and job aids.
  • Support workflow automation and system optimization initiatives.

Personify Health created a personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.

Global

  • Support the Market Intelligence Manager across a wide range of initiatives.
  • Organize, clean, and quality check large datasets to ensure accuracy.
  • Stay up to date with developments across e-commerce marketplaces.

Podean is a global marketplace marketing agency that helps progressive brands unlock their potential on Amazon, Target, Walmart, and other marketplaces. They offer services spanning eCommerce strategy, content creation and optimization, media management, retail operations, and data analytics. Podean values a remote-first culture.