Clinical Manager, Medicare & Formulary Operations

Rightway(1 month ago)

HybridFull TimeManager$140,000 - $160,000Pharmacy Operations

About this role

The Clinical Manager, Medicare & Formulary Operations leads the development and ongoing optimization of Medicare-focused formulary strategies and commercial formulary operations. This role bridges clinical, regulatory, and business objectives to ensure Medicare Part D compliance, support Pharmacy & Therapeutics governance, and advance Rightway’s formulary offerings. The manager partners cross-functionally with product, data, and commercial teams to improve member experience and support strategic initiatives.

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Required Skills

Formulary Design
Formulary Coding
Formulary Testing
Audit Readiness
Rebate Strategy
Clinical Effectiveness
Data Analysis
P&T Support
Stakeholder Communication
Implementation Support

+5 more

Qualifications

Pharmacist License

About Rightway

rightwayhealthcare.com

Rightway Healthcare is a technology-enabled clinical care navigation and benefits company that helps employers and health plans connect members with high-quality, cost-effective care. It pairs clinician-led navigation with a transparent, outcomes-focused pharmacy benefits management (PBM) offering to simplify access, reduce unnecessary spend, and improve medication and treatment decisions. Rightway’s platform combines data-driven insights, care teams, and digital tools to personalize guidance, coordinate referrals, and drive better clinical and financial outcomes.