Formulary Strategy Manager jobs in United States
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KPH HEALTHCARE SERVICES, INC · 22 hours ago

Formulary Strategy Manager

KPH Healthcare Services, Inc. is a multistate organization focused on healthcare services, and they are seeking a Formulary Strategy Manager to lead the development and execution of trade-related formulary strategies. This role involves analyzing market trends and rebate structures to optimize formulary positioning and ensure compliance with regulatory requirements.

Health CareMedicalPharmaceutical

Responsibilities

Develop and implement trade-related formulary strategies to optimize rebate opportunities and clinical outcomes
Analyze manufacturer contracts, rebate structures, and market dynamics to inform formulary positioning
Collaborate with clinical teams to ensure formulary decisions meet evidence-based standards and patient safety requirements
Monitor pipeline products and competitive market trends to anticipate formulary impacts
Prepare and present formulary strategy recommendations to internal leadership and Formulary Strategy Committee
Partner with finance and analytics teams to evaluate cost-effectiveness and rebate performance
Ensure compliance with regulatory requirements and contractual obligations related to formulary management
Serve as a liaison with trade partners and manufacturers to negotiate and maintain favorable formulary positioning
Responsible for completing all mandatory and regulatory training programs
Other duties and responsibilities as assigned

Qualification

Formulary managementClinical expertiseNegotiation skillsFinancial data analysisMicrosoft ExcelPower BIRelationship managementMulti-priority managementCommunication skills

Required

Strong knowledge of formulary management, rebate structures, and trade agreements
Clinical expertise in pharmacotherapy and evidence-based medicine
Ability to interpret and analyze financial and contractual data
Excellent negotiation and relationship management skills
Proficiency in Microsoft Excel, Power BI, and other analytical tools
Strong written and verbal communication skills for technical and non-technical audiences
Ability to manage multiple priorities in a fast-paced environment
Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy required
Active Registered Pharmacist (RPh) license in good standing required
Minimum 3–5 years of experience in formulary management, trade relations, or managed care pharmacy required
Experience analyzing rebate structures and manufacturer contracts required

Preferred

Completion of a Drug Information or Managed Care Pharmacy residency preferred
Advanced training or certification in pharmacotherapy, formulary management, or evidence-based medicine preferred
Prior experience in PBM, GPO, or pharmaceutical trade negotiations preferred
Familiarity with pipeline monitoring and formulary strategy development preferred
Exposure to cost-effectiveness analysis and financial modeling preferred

Company

KPH HEALTHCARE SERVICES, INC

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KPH Healthcare Services, Inc.

Funding

Current Stage
Late Stage
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