Teams at BSC Industries, Inc.

Design and deliver end-to-end full stack healthcare applications across UI, API, and data layers. Build secure, testable, cloud-native services, implement integrations and IaC, support CI/CD and monitoring, leverage AI-assisted tools, and mentor engineers while partnering with cross-functional teams.

Leads formulary implementation and maintenance across Commercial, Exchange, and Medicare lines of business. Maintains drug databases, utilization management edits, procedures, reports, and regulatory documentation. Coordinates with internal departments and external pharmacy benefit vendors, validates claims, supports CMS submissions, develops formulary materials, and ensures configuration and operational workflows comply with business rules, audits, and state and federal regulations.

Leads formulary implementation and maintenance across Commercial, Exchange, and Medicare lines of business. Maintains formulary databases, utilization management edits, procedures, reports, and regulatory documentation. Coordinates with pharmacy claims adjudicators, vendors, analytics, benefits, compliance, communications, and other stakeholders. Validates claims, identifies system and workflow issues, supports CMS and state submissions, develops formulary materials, and ensures implementation complies with business rules and regulatory requirements.