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Manager Formulary Jobs (NOW HIRING)

RxSense

Formulary Operations Analyst

Boston, MA

... management and access of cost-effective pharmacy benefits. Our technology helps enterprise and ... Position Summary :      The Formulary Analyst plays a key role in the configuration ...

Waste Management

Formulary Specialist

Hudson, NH · On-site

$53K - $65K/yr

Job Summary Formulary Characterization Specialist will provide internal and external clients and ... Previously known as Waste Management and based in Houston, Texas, WM is driven by commitments to ...

Waste Management

Formulary Specialist

Hudson, NH

$53K - $65K/yr

Job Summary Formulary Characterization Specialist will provide internal and external clients and ... Previously known as Waste Management and based in Houston, Texas, WM is driven by commitments to ...

Waste Management

Formulary Specialist

Hudson, NH · On-site

$53K - $65K/yr

Job Summary Formulary Characterization Specialist will provide internal and external clients and ... Previously known as Waste Management and based in Houston, Texas, WM is driven by commitments to ...

Impresiv Health

Health Plan Pharmacist

Huntington Beach, CA · On-site

$61.50 - $74/hr

Manage Medicare Part D formulary activities, including drug tier placement, prior authorization criteria, step therapy protocols, quantity limits, and formulary exception reviews. * Support Pharmacy ...

University of Michigan

Milk Room Manager

Ann Arbor, MI · On-site

Manage formulary and formulary-related issues impacting patient care or product availability. Human Resources Management * Supervise and direct the day-to-day work of bargained-for and non-bargained ...

Highmark Health

Senior Pharmacist - Strategy

Des Moines, IA · On-site

$56.75 - $68.25/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Indianapolis, IN · On-site

$55.75 - $67/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Little Rock, AR · On-site

$55.75 - $67.25/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Augusta, ME · On-site

$57.75 - $69.25/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

New York, NY

$63.75 - $76.50/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Columbus, OH · On-site

$54.50 - $65.50/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Phoenix, AZ · On-site

$57.75 - $69.50/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Sacramento, CA · On-site

$63.50 - $76.25/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

Highmark Health

Senior Pharmacist - Strategy

Oklahoma City, OK · On-site

$54.25 - $65/hr

Formulary & Utilization Management Strategy & Development: May lead Highmark's evidence-based medicine drug evaluation program supporting Highmark's formulary and utilization management (UM) and/or ...

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Manager Formulary information

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How much do manager formulary jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for manager formulary in the United States is $65.13, according to ZipRecruiter salary data. Most workers in this role earn between $57.69 and $72.12 per hour, depending on experience, location, and employer.

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

To thrive as a Manager Formulary, you need expertise in pharmacy, pharmacology, and healthcare regulations, typically supported by a PharmD degree and relevant licensure. Familiarity with formulary management systems, drug evaluation software, and data analytics tools is essential. Strong leadership, analytical thinking, and effective communication skills help drive collaboration across clinical, operational, and business teams. These skills ensure evidence-based formulary decisions, regulatory compliance, and optimal medication management within healthcare organizations.

What is a Manager Formulary?

A Manager Formulary is a professional responsible for overseeing the selection, maintenance, and management of a healthcare organization's drug formulary. This includes evaluating medications for inclusion, negotiating with pharmaceutical manufacturers, and ensuring the formulary meets clinical, regulatory, and financial goals. They often work closely with pharmacists, physicians, and insurance providers to ensure patients have access to safe and cost-effective medications. Their decisions directly impact drug utilization, patient outcomes, and overall healthcare costs.

What are some common challenges faced by a Manager Formulary, and how can they be addressed?

A Manager Formulary often faces challenges such as balancing cost management with clinical efficacy, staying updated on rapidly changing pharmaceutical trends, and ensuring compliance with regulatory requirements. Effective collaboration with pharmacy and therapeutics committees, healthcare providers, and insurance partners is essential to address these challenges. Staying proactive in gathering and analyzing clinical and financial data, as well as fostering strong communication channels, can help a Manager Formulary make informed decisions that benefit both the organization and patients.
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What cities are hiring for Manager Formulary jobs? Cities with the most Manager Formulary job openings:
What are the most commonly searched types of Formulary jobs? The most popular types of Formulary jobs are:
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What job categories do people searching Manager Formulary jobs look for? The top searched job categories for Manager Formulary jobs are:
Manager Formulary jobs near you
Infographic showing various Manager Formulary job openings in the United States as of June 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $135,464 per year, or $65.1 per hour.
Formulary Operations Analyst

Formulary Operations Analyst

RxSense

Boston, MA

Full-time

Posted 12 hours ago

Key responsibilities

  • Configure, update, and maintain custom and standard formularies within the claims adjudication system.

  • Perform audits to validate formulary configuration accuracy and monitor claim processing to detect and correct potential issues.

  • Participate in client implementations by gathering and documenting formulary requirements and collaborating with internal teams to ensure smooth integration of formulary solutions.

Job description

We are a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy benefits. Our technology helps enterprise and partnership clients simplify their businesses and helps consumers save on prescriptions.

As a leader in SaaS technology for healthcare, we offer innovative solutions with integrated intelligence on a single enterprise platform that connects the pharmacy ecosystem. With our expertise and modern, modular platform, our partners use real-time data to transform their business performance and optimize their innovative models in the marketplace.

Position Summary:     

The Formulary Analyst plays a key role in the configuration, maintenance, and quality assurance of formularies within the RxSense platform. Acting as a subject matter expert, the Analyst supports both internal teams and external clients in executing accurate formulary strategies and ensuring alignment with clinical and operational goals. This position requires strong technical proficiency, a deep understanding of pharmacy claims systems, and the ability to work independently on complex issues and projects.

Essential Duties and Responsibilities:

Formulary Configuration and Maintenance
  • Configure, update, and maintain custom and standard formularies within the claims adjudication system.
  • Ensure accuracy and alignment of formulary builds with client intent, clinical strategy, and regulatory requirements.
  • Troubleshoot adjudication issues and discrepancies; conduct detailed analysis to resolve defects and anomalies.
Support for Implementations and Enhancements
  • Participate in client implementations by gathering and documenting formulary requirements.
  • Serve as a clinical capabilities subject matter expert.
  • Collaborate with internal teams to ensure smooth integration of formulary solutions.
Quality Control and Reporting
  • Perform audits to validate formulary configuration accuracy.
  • Monitor claim processing to detect and correct potential issues proactively.
  • Assist in analyzing and presenting data related to formulary performance or disruptions.
  • Pull, organize, and aggregate data and reports to support client meetings and formulary strategy presentations.
Client and Team Collaboration
  • Support client interactions as needed, including responding to formulary-related inquiries and assisting in training sessions.
  • Work closely with clinical partners to ensure translation of clinical direction into accurate system configuration.
  • Contribute to development and documentation of internal workflows, best practices, and training materials.
Special Projects and Process Improvements
  • Lead or contribute to special initiatives such as process optimization, disruption analyses, or platform enhancements.
  • Recommend and implement improvements to ensure greater accuracy, efficiency, and scalability of formulary operations.

Education/Experience:

  • Bachelor's degree or 1 year equivalent experience in healthcare (PBM)
  • 1+ year's of experience in formulary operations, pharmacy claims adjudication, or related healthcare analytics.
  • Demonstrated expertise in configuring and maintaining formulary data within claims systems.
  • Excellent working knowledge of formulary structures, Medispan/FDB data, and pharmacy benefit operations.
  • Strong problem-solving skills with the ability to analyze data and translate findings into actionable solutions.
  • Detail-oriented, with the ability to manage multiple priorities and meet deadlines.
  • Superior written and verbal communication skills — clear and concise with both internal and client-facing audiences.
  • Excellent organizational and time management skills.
  • Ability to take the lead on projects and follow through to completion.
  • Proficiency in Microsoft Excel and advanced knowledge of Microsoft Office Suite to create complex documents and analyze data.
  • Self-starter with a proactive mindset and a high level of accountability.

Salary Range: 75,000 - 85,000

RxSense believes that a diverse workforce is a more talented and productive workforce. As such, we are an Equal Opportunity and Affirmative Action employer. Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status. We believe in the strength of the collaboration, creativity and sense of community a diverse workforce brings.