Reporting to the Director of Pharmacy Services, the Pharmacy Program Manager is primarily responsible for pharmacy benefits configuration, including formulary implementations in accordance with accreditation and regulatory requirements, as well as other processes and/or programs in support of regulatory requirements for all lines of business. The Pharmacy Program Manager also provides project management support across all pharmacy services initiatives that include both clinical and operational initiatives in support contractual obligations and fiscal goals. Additionally, documentation of policies, procedures, and programs shall be required.

Key Functions/Responsibilities:

• Responsible for accurate and timely implementations of pharmacy benefits and formulary configurations. • Provides project management support for all pharmacy services initiatives across all lines of business • Responsible for initiation, planning, tracking, documenting, execution, and monitoring and controlling of program implementations • Proactively works with the project teams to identify and resolve issues, escalating when necessary to business owners and executive sponsors to work through obstacles and ensure project is executed successfully. • Interfaces with all areas affected by the project including end users and vendors. • Responsible for documentation of policies, procedures, and program designs in support of clinical, operational, and regulatory requirements • Responsible for validation of benefits configurations • Supports testing and quality assurance review of formulary configurations • Collaborates cross-functionally with both internal and external partners to support all projects and initiatives • Participates on committees and/or lead cross-functional workgroups as necessary • Other duties as assigned

Qualifications: • Must be experienced with project management processes, tools and templates, as well as project team roles and responsibilities • Excellent written and oral communication skills • Excellent interpersonal skills • Strong organizational and time management skills, including ability to work independently and prioritize multiple projects and assignments • Able to collaborate cross-functionally • Ability to analyze, compile, format, and present findings, data, queries, and reports to a variety of stakeholders. • Demonstrates ability to provide guidance and oversight • Demonstrated strength in analysis, identification of problems and issue resolution • Excellent skills in teamwork and team approaches to goal setting and attainment • Must be results oriented • Regular and reliable attendance is an essential function of the position. • Occasional travel (<5%) may be required • Ability to work in a fast paced environment

Education & Experience:

• Minimum of professional bachelor’s degree in health care administration, public health or related field required. Graduate study in a business, public health, or health policy field will be favorably considered. • Project management experience required • Pharmacy industry experience highly preferred • Experience with systems configurations and strong understanding of claims data • Experience in a managed care setting, either from the provider, the payer, or the PBM side of the industry, is preferred. • Proficiency in standard computational office-suite applications, including project, word-processing and relational database manipulation is required.

Required Skills Required Experience