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Director Formulary Management Jobs (NOW HIRING)

Position Title Senior Director, Market Access Department Commercial Reports To VP Marketing (as ... Medicaid, including formulary management, prior authorization, and step therapy protocols.

New

Position Title Senior Director, Market Access Department Commercial Reports To VP Marketing (as ... Medicaid, including formulary management, prior authorization, and step therapy protocols.

Pharmacy Manager

San Francisco, CA · On-site

$202K - $323K/yr

... formulary management, drug usage evaluation, education activities and overall departmental ... The Clinical Pharmacy Manager serves as the PGY1 Pharmacy Residency Program Director, with ...

Pharmacy Manager

San Francisco, CA · On-site

$202K - $323K/yr

... formulary management, drug usage evaluation, education activities and overall departmental ... The Clinical Pharmacy Manager serves as the PGY1 Pharmacy Residency Program Director, with ...

Pharmacy Manager

San Francisco, CA · On-site

$202K - $323K/yr

... formulary management, drug usage evaluation, education activities and overall departmental ... The Clinical Pharmacy Manager serves as the PGY1 Pharmacy Residency Program Director, with ...

Pharmacy Clinical Coordinator

Medford, OR · On-site

$146K - $201K/yr

Facilitates system-wide formulary management through proactive review and evaluation of formulary ... or direct patient care activities, such as disease state management clinics, clinical rotations ...

Product Manager - Data

Wayne, PA · On-site

$100K - $120K/yr

Direct experience working with healthcare reference data (payer attributes, SDOH indices, mortality ... ASO, PBM carve-outs, risk adjustment, formulary management * Experience with HIPAA-compliant data ...

Director, National Accounts (CVS/Aetna) Position Summary The Director, National Accounts is ... Strong understanding of payer contracting, rebates, formulary management, prior authorization ...

Director, National Accounts (ESI/Cigna) - MASH Position Summary The Director, National Accounts is ... Strong understanding of payer contracting, rebates, formulary management, prior authorization ...

Director, National Accounts - (Optum/United) Position Summary The Director, National Accounts is ... Strong understanding of payer contracting, rebates, formulary management, prior authorization ...

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Director Formulary Management information

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$23.5K

$121.5K

$189.5K

How much do director formulary management jobs pay per year?

As of Jul 13, 2026, the average yearly pay for director formulary management in the United States is $121,522.00, according to ZipRecruiter salary data. Most workers in this role earn between $95,000.00 and $147,500.00 per year, depending on experience, location, and employer.

What is the highest paid job in pharmacy?

In pharmacy, the highest paid roles are often senior positions such as Pharmacy Directors or Vice Presidents of Pharmacy, who oversee large pharmacy operations and strategic planning. These roles typically require extensive experience, leadership skills, and advanced certifications, and they can earn salaries exceeding $150,000 annually depending on the organization and location.

What is a Director of Formulary Management?

A Director of Formulary Management is a senior healthcare professional responsible for overseeing the development, implementation, and maintenance of a drug formulary within a health plan or pharmacy benefit management (PBM) organization. This role involves managing the selection of medications covered by insurance, evaluating clinical and cost-effectiveness of drugs, and ensuring the formulary aligns with regulatory requirements and organizational goals. Directors work closely with pharmacists, physicians, and other stakeholders to optimize medication access and quality of care while controlling costs.

What are some common challenges faced by a Director of Formulary Management when balancing clinical and financial priorities?

A Director of Formulary Management often encounters the challenge of aligning clinical efficacy with cost-effectiveness when making formulary decisions. Balancing the needs of patients, providers, and payers requires collaboration with pharmacy and therapeutics committees, as well as staying current with emerging therapies and drug trends. Navigating negotiations with pharmaceutical manufacturers, managing utilization, and addressing regulatory requirements are additional complexities. Success in this role involves strong analytical skills, clear communication, and the ability to make evidence-based decisions that support both quality care and budgetary goals.

What is a formulary manager?

A formulary manager is a healthcare professional responsible for developing and maintaining a list of approved medications, known as a formulary, used by a healthcare organization. They analyze drug efficacy, safety, and cost-effectiveness, often collaborating with physicians, pharmacists, and insurance providers to optimize medication use and manage costs.

How much does a director of pharmacy make in the US?

A director of pharmacy in the US typically earns between $130,000 and $180,000 annually, depending on experience, location, and the size of the organization. They often oversee formulary management, medication policies, and team leadership within healthcare or pharmacy settings.

What is the highest paid field in pharmacy?

In pharmacy, the highest paid roles are often in pharmacy management, pharmaceutical executive positions, or specialized fields such as clinical pharmacy or research. These roles typically require advanced degrees, certifications, and extensive experience, and they often offer higher salaries compared to retail or community pharmacy positions.

What is the difference between Director Formulary Management vs Pharmacist?

AspectDirector Formulary ManagementPharmacist
CredentialsAdvanced degree (PharmD), often with management certificationsPharmD degree, state licensure
Work EnvironmentHealthcare organizations, insurance companies, pharmacy benefit managersCommunity pharmacies, hospitals, clinics
Industry UsageStrategic formulary decisions, policy developmentDispensing medications, patient counseling

While both roles involve medication management, the Director of Formulary Management focuses on strategic formulary policies and oversight, often in administrative or managerial settings. Pharmacists primarily dispense medications and provide patient care. The roles complement each other but differ in scope and responsibilities.

What are the key skills and qualifications needed to thrive as a Director of Formulary Management, and why are they important?

To thrive as a Director of Formulary Management, you need deep expertise in pharmacy, pharmacoeconomics, and healthcare management, typically supported by a PharmD or similar degree and relevant work experience. Familiarity with formulary management software, drug information databases, and data analytics tools is essential, along with certifications like BCPS (Board Certified Pharmacotherapy Specialist) being advantageous. Strong leadership, negotiation skills, and the ability to collaborate across clinical and business teams are critical soft skills. These competencies are vital to ensure effective medication selection, cost control, compliance, and alignment with organizational and patient care goals.
More about Director Formulary Management jobs
What cities are hiring for Director Formulary Management jobs? Cities with the most Director Formulary Management job openings:
What are the most commonly searched types of Formulary Management jobs? The most popular types of Formulary Management jobs are:
What states have the most Director Formulary Management jobs? States with the most job openings for Director Formulary Management jobs include:
What job categories do people searching Director Formulary Management jobs look for? The top searched job categories for Director Formulary Management jobs are:
Infographic showing various Director Formulary Management job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $121,522 per year, or $58.4 per hour.

Senior Director, Market Access

Kardigan

Evanston, IL

$255K - $340K/yr

Full-time

Posted 7 days ago

New


Job description

Position Title

Senior Director, Market Access

Department

Commercial

Reports To

VP Marketing (as organization grows, may transition to Chief Commercial Officer or Head of Market Access)

Location

Princeton, NJ or South San Francisco, CA – On-site 4 days per week (Mon to Thurs)

Job Overview

Kardigan is seeking a Senior Director of Market Access to build the commercial foundation for our late-stage cardiovascular portfolio. The role is a key architect of payer strategy, coverage policy, and access infrastructure. The ideal candidate has deep expertise across managed care, payer strategy, health economics, and patient services, and thrives in a fast‑paced, high‑accountability environment.

Essential Duties and Responsibilities
  • Lead the development and execution of market access strategies for multiple late-stage cardiovascular assets from pre‑launch through commercialization, including coverage and reimbursement planning, payer value proposition, and pricing and contracting frameworks across commercial, Medicare, and Medicaid segments.
  • Build and maintain relationships with national and regional payers, PBMs, and IDNs; lead payer advisory boards and negotiate formulary positioning for launch products.
  • Partner with Medical Affairs and HEOR to define evidence generation priorities and develop and communicate the clinical and economic value story that supports favorable coverage decisions and formulary placement.
  • Design and oversee patient services programs including hub services, prior authorization support, patient assistance programs (PAP), and co‑pay support to minimize access barriers and reduce time to therapy.
  • Develop and execute a channel strategy spanning specialty pharmacy, specialty distributors, and hospital/institutional settings appropriate for a cardiovascular launch.
  • Develop and lead the government affairs and policy strategy, including monitoring and responding to coverage policies, CMS proposals, and legislative dynamics that could affect product access.
  • Collaborate cross‑functionally with Commercial, Medical, Legal, Finance, and Regulatory to align on launch readiness milestones, pricing strategy, and access timelines.
  • Build, manage, and mentor a high‑performing market access team as the organization grows, including external vendors and agency partners as needed.
  • Establish metrics, dashboards, and reporting frameworks to monitor payer coverage, patient access, and field reimbursement performance.
  • Represent market access perspectives in launch planning, LCM activities, and pipeline asset development to ensure early integration of access considerations.
Qualifications and Preferred Skills
  • Bachelor’s degree required; advanced degree (MBA, MPH, PharmD, or equivalent) strongly preferred.
  • 10+ years of pharmaceutical/biotech industry experience with at least 6 years in market access, managed care, payer strategy, or a closely related function.
  • Prior experience with at least one U.S. product launch is required; cardiovascular, cardiometabolic, or specialty launch experience strongly preferred. Rare/orphan disease experience preferred but not required.
  • Deep knowledge of the U.S. payer landscape including commercial health plans, PBMs, Medicare Part D, and Medicaid, including formulary management, prior authorization, and step therapy protocols.
  • Demonstrated success in establishing and managing payer relationships and leading payer negotiations or contracting processes.
  • Experience developing and implementing patient services programs, including hub/SP management, PAP, co‑pay card, and field reimbursement support.
  • Familiarity with HEOR principles and ability to translate health economic data into payer‑relevant messaging and dossiers.
  • Strong strategic thinking, analytical skills, and executive presence, with the ability to influence cross‑functional partners and present to senior leadership.
  • Comfortable operating in a small, pre‑commercial company environment; demonstrated ability to build programs and teams from early‑stage through launch.
  • Ability to travel up to 30% as needed to support payer meetings, industry conferences, and internal team collaboration.
Compensation

Exact compensation may vary based on skills, experience and location.

Pay range: $255,000 - $340,000 USD

EEO Statement

As set forth in Kardigan’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

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