Program Manager - (Pharmacy Benefit Manager)

Overview

Remote
Depends on Experience
Contract - W2
Contract - 12 Month(s)

Skills

Program Management
Pharmacy
Facets
Migration
API
Business Operations
Health Care
Management
Microsoft Exchange
MuleSoft
Salesforce.com
PMP
Pharmacy Benefit Manager (PBM)

Job Details

Note : We need applicants to work on our W2, Contract or C2c is not workable !!

Role: Program Manager
Location: 100% remote, candidates MUST reside in DC, MD, VA, WV, PA, DE, NJ, NC, NY, FL, TX
Duration: 12 months

Job description

Client is looking for a Director-level Program Manager to support a large-scale PBM (Pharmacy Benefit Manager) transition initiative. This resource will be responsible for leading and coordinating internal Client efforts across six (and eventually seven) workstreams. The work involves changing Client s current PBM and bringing some of the PBM s functions in-house, impacting both business operations and IT systems. Also, this PBM transition follows other major initiatives at Client, including core system consolidation like Facets G6 implementation, MuleSoft integration, Salesforce integration, and API-driven development efforts.

Client is unsure whether they will migrate away from its current PBM or simply make enhancements and insourcing some functionality. They have selected an implementation partner to support this initiative, this candidate will work with the Implementation Partner s Program Manager and act as the Program manager representing Client for this initiative.

Client s 7 key workstreams: Customer Experience, Pharmacy Networks, Client Setup, Data Exchange, Benefits & Claims Operations, Clinical Programs and Formulary, Business Readiness

Required

  • 10+ years of experience in program management with Bachelors degree (or additional 4 years exp) with experience leading programs in excess of $50M
  • Experience leading enterprise level, high visibility program level implementation projects in the healthcare / PBM space
  • Direct experience with PBM (Pharmacy Benefit Manager) implementations, migrations or operations. This can be at a healthplan or directly with a PBM
  • Ability to synthesize multiple workstreams into executive-level reporting

Nice to have:

  • Experience with Facets core system migration
  • Experience in MuleSoft, Salesforce integration, and/or API implementation
  • Understanding of healthcare claims, benefits, and pharmacy operations
  • PMP preferred
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