Associate Director Formulary Operations

Job Title: Associate Director Formulary Operations

Company Overview:
Pulivarthi Group is a premier global provider of staffing and IT technology solutions renowned for delivering exceptional services tailored to each clients unique needs. With a steadfast commitment to excellence we merge expertise with innovation ensuring cost-effective solutions of the highest quality. Our diverse client base spans healthcare finance government and beyond reflecting our adaptability and proficiency across industries. Operating in the United States Canada and Mexico we pride ourselves on aligning with clients cultures deploying top-tier talent and utilizing cutting-edge technologies. Pulivarthi Group stands as a beacon of reliability efficiency and innovation in the realm of staffing solutions.

Job Overview/Summary:
We are seeking an experienced Associate Director Formulary Operations to lead the development implementation and maintenance of custom formularies across multiple lines of business including Commercial Medicaid and Health Information Marketplace/Exchange plans. This role will oversee formulary strategies regulatory compliance cross-functional team leadership and vendor relationships to ensure operational excellence and superior client service.

Responsibilities:

• Oversee development and maintenance of custom formularies for all non-Medicare lines of business.

• Monitor and analyze regulatory and legislative requirements; develop and execute project plans to meet requirements.

• Lead cross-functional teams to implement new programs and maintain compliance with evolving regulations.

• Support relationships with external partners/vendors including P&T committees rebate aggregators and formulary management tool providers.

• Communicate clinical issues and objectives to clients members and internal teams; develop education materials as needed.

• Supervise and coach direct reports conducting performance reviews and providing regular feedback.

• Develop clinical criteria for review of non-formulary or non-preferred drug lists; communicate recommendations to clients.

• Evaluate drugs/drug classes to recommend formulary positioning utilization management and formulary management strategies.

• Provide operational support during implementation of formulary programs.

• Analyze and interpret prescription claims data to identify opportunities for improved formulary management strategies.

• Support quality improvement and clinical value projects as needed.

• Support P&T committee items RFI/RFP submissions and other business needs as required.

• Ensure adherence to the organizations Code of Conduct including reporting of noncompliance.

Primary Skills:

• Expertise in formulary development maintenance and strategy across Commercial and Medicaid lines of business.

• Knowledge of highly managed specialty medications and formulary management tools.

• Strong ability to analyze prescription claims data to drive strategy.

• Excellent leadership communication and cross-functional collaboration skills.

Secondary Skills (Good to Have):

• Residency or fellowship training.

• Experience managing external vendors and rebate aggregators.

• Strong Microsoft Excel and PowerPoint proficiency.

• Experience working with large datasets.

Qualifications:

• Doctor of Pharmacy (PharmD) from an accredited institution with a record of strong academic performance.

• Current unrestricted registered pharmacist license(s).

• 6 8 years of pharmacy experience working for a health plan or PBM (residency/fellowship preferred).

• Proficiency in Microsoft Office Suite (Excel and PowerPoint emphasized).

• Ability to manage multiple complex projects simultaneously.

• Exceptional written and verbal communication skills.

• Flexible highly organized and able to shift priorities easily.

What We Offer:

• Opportunity to work in a dynamic growing organization.

• Comprehensive benefits package.

• Exposure to high-impact projects across multiple lines of business.

• A values-driven organization that prioritizes:

  • Integrity First: Doing the right thing.

  • Results: Delivering measurable outcomes.

Additional Requirements:

• Candidates must be able to provide proof of eligibility to work in the United States.

• Background check and drug screening may be required based on position requirements.

Equal Opportunity Statement:
Pulivarthi Group is proud to be an equal opportunity employer. We are committed to building a diverse and inclusive culture and celebrate authenticity. We do not discriminate on the basis of race religion color national origin gender gender identity sexual orientation age marital status disability protected veteran status or any other legally protected characteristics.