Program Manager - (Pharmacy Benefit Manager)
Posted 7 days ago by 1753520274
Negotiable
Outside
Remote
USA
Summary: The role of Program Manager involves leading a large-scale Pharmacy Benefit Manager (PBM) transition initiative for a client, requiring coordination across multiple workstreams. The candidate will represent the client while collaborating with an implementation partner to manage the transition effectively. This position demands extensive experience in program management, particularly within the healthcare and PBM sectors. The role is fully remote but candidates must reside in specific states within the USA.
Key Responsibilities:
- Lead and coordinate internal efforts across multiple workstreams for the PBM transition initiative.
- Work with the Implementation Partner’s Program Manager to represent the client in the initiative.
- Manage the impact of the PBM transition on business operations and IT systems.
- Synthesize multiple workstreams into executive-level reporting.
Key Skills:
- 10+ years of experience in program management with a Bachelor's degree (or additional 4 years of experience).
- Experience leading enterprise-level, high visibility program implementation projects in the healthcare/PBM space.
- Direct experience with PBM implementations, migrations, or operations.
- Ability to synthesize multiple workstreams into executive-level reporting.
- Experience with Facets core system migration, MuleSoft, Salesforce integration, and/or API implementation is a plus.
- Understanding of healthcare claims, benefits, and pharmacy operations.
- PMP certification preferred.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Other
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