PBM Operations Analyst

About TruDataRx

TruDataRx Inc. uses objective clinical data to help clients improve the clinical efficacy and reduce the costs of pharmacy benefits for its members. We are independent from all players in the pharmaceutical manufacturing and distribution industries enabling us to best serve our clients. We value the following characteristics in our team members:

• Outward Mindset foundation of our culture which influences the right behaviors that leads to results
• Entrepreneurial the ability to get things done with resources you dont control
• Humility deep comfort in knowing when you dont know and asking questions
• Collaboration we always give benefit of doubt that each person has something to contribute

Position Summary:

The PBM Operations Analyst is responsible for managing and maintaining accurate formulary configurations in TruDataRxs proprietary system. This role requires expertise in pharmaceutical data standards specifically NDC and MediSpan in reviewing coding and managing formulary configurations to ensure accurate up-to-date information is maintained within the formulary system. The PBM Operations Analyst works in close collaboration with internal stakeholders including the Pharmacy & Therapeutics Committee and Account Management to ensure correct implementation of clinical and client-specific formulary decisions.

Essential Functions

• Manage and maintain formulary configurations in TruDataRxs proprietary system ensuring alignment with P&T decisions account-specific requirements and industry standards utilizing MediSpan and NDC standards.
• Monitor and implement formulary changes including tiering exclusions and utilization management attributes as directed by the Pharmacy & Therapeutics (P&T) Committee and Account Management.
• Identify and troubleshoot system or configuration issues escalating as needed. Proactively contribute to system optimization and process improvement initiatives.
• Ensure Formulary accuracy and data integrity by supporting the team in regular quality control reviews as requested.
• Prepare and update Prescription Drug Lists and other reports to support internal teams and client deliverables.
• Serve as a resource to internal teams providing expert support on formulary-related questions and collaborating closely with the P&T committee Account Management and partnering with IT as needed to troubleshoot and optimize system inefficiencies.
• Identify surface and troubleshoot formulary system issues to determine if stemmed in configuration or system function asking for help as needed and surfacing ways to address and optimize system inefficiencies.

• Minimum of 2 years of experience in formulary operations for a pharmacy benefit manager or a related field.
• Strong knowledge of GPI identifiers and comfort with MediSpan and NDC-derived data.
• Proficiency in pharmaceutical classifications drug data and formulary logic.
• High attention to detail and accuracy in data entry and formulary configuration.
• Demonstrated ability to troubleshoot system and process inefficiencies with a continuous improvement mindset.
• Excellent organizational written and verbal communication skills.
• Proficiency in Microsoft Office Suite (Word Excel PowerPoint).

Company Standard Requirements:

• Ability to work well with others in a collaborative environment
• Ability to get things done with resources you dont control
• Willingness to admit you dont know and ask for help
• Exhibit constant curiosity and a drive to problem solve
• Exhibit desire to learn and grow on a continuous basis