Formulary Production Specialist

Posted:
11/19/2025, 4:00:00 PM

Location(s):
San Diego, California, United States ⋅ California, United States

Experience Level(s):
Junior ⋅ Mid Level

Field(s):
Operations & Logistics

Workplace Type:
Hybrid

Exemption Status:

United States of America (Non-Exempt)

$29.32 - $38.85 - $48.38

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary

The Formulary Production Specialist utilizes the formulary operational processes and tool sets to support Formulary Administration. This position interfaces with many teams in the organization and is an advocate for the tactical direction set by Formulary Administration management. Helps to define and participates in the designs of innovative ways to deliver business and technical solutions for both commercial and part D formularies as it pertains to operational processes. Relies on experience, business applications and systems knowledge; as well as, technical skills to help recommend business solutions.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Operates the formulary solutions operational processes including Weekly Drug Update, Monthly ASCII submission files, Plan Finder source data files, creates and distributes data outputs for drug list production, client web files, JSON and SERF files  and IT data synchronization;

  • Effectively utilizes the assets, tools, and processes necessary to achieve business objectives by leveraging analysis, evaluation, planning and organizational skills/tools;

  • Assesses and communicates business risk for operational MOB, operational automation and IT technological improvements;

  • Continuously supports the improvement of operational efficiencies and streamlines processes by reviewing, analyzing, and evaluating business processes. Uses process mapping and other workflow simplification techniques to capture and define process efficiencies;

  • Collaborates with external departments as needed to communicate goals, manage deliverables, and effectively address business objectives;

  • Interfaces daily with the Formulary Management Team to determine, document and plan solutions for operational business requirements.

  • Takes personal ownership and accountability by following up and following through on all deliverables; follows established department processes; demonstrates solid technical expertise to perform deliverables. 

  • Participates in monthly print production as part of a rotation and as business needs require.

Supervisory Responsibilities        

No supervisory responsibilities

                                   

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 3+ years’ experience or equivalent combination of education and experience

Computer Skills

To perform this job successfully, an individual should be skilled in a majority of Microsoft Office Suite (MS Access, MS Visio, MS Project, MS Excel, MS Word, and MS PowerPoint) and have a good understanding of databases, their architectures, database constraints, and SQL.

Certificates, Licenses, Registrations

None required

Other Skills and Abilities

  • Prior experience in Information Technology is a plus.
  • Experience in PBM, pharmaceutical, or managed health care industry a plus.
  • Knowledge of application of process mapping and workflow techniques as well as all phases of systems development lifecycles and/or business process engineering methodology;
  • Executes and delivers within the confines and timeframes provided by regulatory agencies; 
  • Ability to work beyond standard business hours as required by deadlines and deliverables;
  • Proven team player, delivery-focused, yet flexible and creative when called upon;
  • Thorough understanding of the definition of business requirements;
  • Ability to communicate positively, tactfully and effectively with multiple stakeholders including team members, management, and customers;
  • Well-developed facilitation and collaboration skills; 
  • Experience and understanding of how to accomplish deliverables in a matrixed environment.

Reasoning Ability

                                   

  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Mathematical Skills

     

  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

Language Skills

  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. 

      

  • Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

  • Composure
  • Decision Quality
  • Organizational Agility
  • Problem Solving
  • Customer Focus
  • Drive for Results
  • Peer Relations
  • Time Management
  • Dealing with Ambiguity
  • Learning on the Fly
  • Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Working Hours

This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done.  Therefore, one must have the ability to work nights, weekends or on holidays as required.  This may be changed at any time to meet the needs of the business.  The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires no travel however attendance may be required at various local conferences and meetings.

The Perks:

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.