Formulary Administration Specialist (PBM)

Location: San Diego, CA. The position works on-site at the San Diego Headquarters or another company location; remote work is possible with management approval based on business requirements. Domestic travel of up to 5% is required.

Salary: $60,987–$100,628 per year.

Company

hirify.global is a privately held pharmacy benefit manager providing pharmaceutical and technology solutions that improve healthcare outcomes, cost, quality, and transparency.

What you will do

• Participate in the design and validation of pharmacy benefit management plans.
• Code plan-specific information into formulary systems and monitor drug and auto-coding rules.
• Review recurring drug update projects and prepare formulary files for pharmacist review.
• Respond to client inquiries, triage formulary mailbox requests, and escalate complex issues to managers or pharmacists.
• Compile member disruption reports, review member letters, and build formulary shells with pharmacists.
• Provide claims analysis support and maintain service, performance, and quality standards.

Requirements

• Associate’s degree and at least 2 years of experience, or an equivalent combination of education and experience.
• Current unrestricted Pharmacy Technician License and/or CPhT certification.
• Working knowledge of Microsoft Office Suite and familiarity with databases.
• Strong written, verbal, interpersonal, organizational, and customer service skills.
• Ability to manage multiple priorities, interpret instructions, solve problems, and complete detail-oriented work.
• This position is not eligible for visa sponsorship.

Nice to have

• Basic pharmacy benefit management, drug information, or prior authorization experience.
• Familiarity with National Drug Data Provider products.
• Medicare Part D formulary knowledge.

Culture & Benefits

• Collaborative, client-facing work with internal and external stakeholders.
• Medical, dental, vision, and wellness programs.
• Paid time off and company-paid holidays.
• 401(k) with company match, life and disability insurance, and incentive compensation.
• Tuition reimbursement and employee referral bonus.
• Core business hours are typically Monday through Friday, 8:00 a.m. to 5:00 p.m., with flexibility for nights, weekends, or holidays when required.