Project Manager with Medicare/Medicaid and Pharmacy Benefits Management expertise

We are seeking to hire several Project Managers with expertise in Medicare/Medicaid system implementation projects, including specific expertise in PBM (Pharmacy Benefits Management), to join our teams working on a new multi-year awards we have within several State Gov’t clients, modernizing their Medicare/Medicaid systems.  These roles are 100% remote.

Being a US Cit is required for working on this program.

This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holidays, and a matching 401k).

An option for working on an hourly rate is also available for those not needing a full benefits package.

Project Manager – State Government Client Project
(Pharmacy Claims, Clinical, or Drug Rebate Focus)

The Project Manager supports a State Government Medicaid initiative and leads delivery of workstreams aligned to one of three functional domains: Claims, Clinical, or Drug Rebate. The PM manages requirements, coordinates cross‑functional teams, oversees vendor and PBM activities, and ensures all deliverables meet state, CMS, and contractual standards. Responsibilities include maintaining project schedules, facilitating stakeholder communication, driving testing readiness, and ensuring audit‑ready documentation. The PM performs full RAID management—tracking Risks, Assumptions, Issues, and Dependencies—to protect timelines and ensure accurate, compliant implementation across their assigned domain.

Functional Focus Areas (assigned per role)

• Claims: Oversee initiatives related to claims adjudication, pricing, eligibility, accumulators, and system integration. Ensure accurate processing and alignment with PBM and state requirements.
• Clinical: Lead workstreams involving prior authorization, DUR, formulary updates, clinical rules, and policy-driven system changes. Coordinate with clinical SMEs and PBM partners to ensure compliant implementation.
• Drug Rebate: Manage MDRP and supplemental rebate operations, including NDC validation, rebate invoicing, reconciliation, and manufacturer dispute resolution. Support financial reporting and CMS compliance.

What we’re looking for (minimum qualifications)

·        Minimum 10 years of experience with Project Management and PMO background, including experience in Medicaid / Medicare and PBM

·        Minimum 10 years of experience in implementation of software technology projects

·        CAPM or PMP certification is preferred

·        Proficiency in Microsoft Office tools, including MS Project proficiency

·        Experience in Medicare / Medicaid system implementations, including any of the following: Claims, Pharmacy, CEF, Provider, Interchange, Care/Utilization Management

·        Excellent communication skills and ability to manage work well remotely

·        Convey acknowledge of project management and associated methodologies, techniques, processes, and approaches - exude credibility as a subject matter expert

·        Ability to support US hours for the US State Clients

If qualified and interested, please send an updated resume along with rate/salary requirement and we will follow up quickly to discuss further details and move forward with your interview process.

ec3 Federal Services is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind.  ec3 Federal Services is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at ec3 are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. ec3 Federal Services will not tolerate discrimination or harassment based on any of these characteristics.