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Senior Manager, Pharmacist, Formulary & Utilization Management Operations

Remote

Hi, we're Oscar. We're hiring a Senior Manager, Pharmacist to join our Formulary & Utilization Management Operations team.

Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesā€”one that behaves like a doctor in the family.

About the role

You will oversee the maintenance functions within formulary/medical pharmacy management and utilization management operations. This operator will have two main arms that report into them. The first arm is responsible for building and maintaining the formulary and medical pharmacy preferred drug list, and will have a team led by a Manager of Formulary Operations. The second arm is responsible for all utilization management review operations and is led by a Manager of Clinical Review Operations. The leads for each of these arms have additional direct reports who support their respective functions. You will report into the Senior Director of Clinical Pharmacy Operations and together, these two leaders will ensure maintenance operations are running effectively and and new growth opportunities are scoped and sized for future improvements and company growth.

You will report to the Senior Director, Pharmacy Clinical Operations.

Work Location:Ā 

Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission.Ā 

If you live within commutable distance to our New York City office (in Hudson Square), our Tempe office (off the 101 at University Dr), or our Los Angeles office (in Marina Del Rey), you will be expected to come into the office at least two days each week. Otherwise, this is a remote / work-from-home role.Ā 

You must reside in one of the following states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, or Washington, D.C. Note, this list of states is subject to change. #LI-Remote

Pay Transparency:

The base pay for this role is: $158,400 - $207,900 per year. You are also eligible for employee benefits, participation in Oscarā€™s unlimited vacation program and annual performance bonuses.

Responsibilities

  • Annual submission ā€¦
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Job Profile

Restrictions

Arizona California Colorado Connecticut Florida Georgia Illinois In-office work required for local residents Iowa Kentucky Maine Maryland Massachusetts Michigan Minnesota Missouri Must reside in one of the following states Must reside in specified states Nevada New Hampshire New Jersey New Mexico New York North Carolina Ohio Oregon Pennsylvania Rhode Island South Carolina Tennessee Texas Utah Vermont Virginia Washington

Benefits/Perks

11 paid holidays Annual performance bonuses Dental Disability Insurance Employee benefits Life and Disability insurance Medical Medical, dental, and vision benefits Paid holidays Paid parental leave Paid sick time Paid wellness time Paid wellness time and reimbursements Performance bonuses Unlimited Vacation Unlimited vacation program Vision Vision Benefits

Tasks
  • Compliance
  • Compliance with all applicable laws and regulations
  • Optimize workflows
  • Other duties as assigned
  • Training
Skills

C Clinical Clinical operations Clinical Review Compliance Data analysis Formulary management Health Insurance Leadership Managed Care Operations Pharmacy Policy Review Prior authorization Project Management Team Leadership Technology Technology Platform Training Utilization management Workforce management

Experience

5 years