Implementation Manager (Pharmacy Benefit Management)

 Posted 7 hours ago
     
2-5 years experience
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AI Summary

Lead the conversion process of PBM services by acting as the primary project manager and source of truth from kick-off to go-live. Coordinate between internal teams and external constituents to ensure all implementation milestones are met on time.

Position Overview:

 

    • Position is responsible for the leading the process of conversion of PBM services to the company.
    • Includes managing relationships across various constituents and personalities, and across a variety of dynamics.
    • This individual will possess strong project management skills, communication (written and oral), and comprehensive pharmacy benefits knowledge across implementation steps.
    • Ability to assert credibility with HR decision makers and team, as well as third party advisors.
    • Take control of the room by keeping broad multi-constituent groups organized and on task.
    • Additional opportunities will be made available to the right candidate, including growth within the implementation department or across the organization in larger roles.

 

Supervisor:  Sr. Director, PBM Implementations

Key Responsibilities:

As an Implementation Manager, your key responsibilities will include:

 

    • Serve as project manager through full implementation process, acting as “air traffic controller” and source of truth across all work steps – beginning with implementation kick-off and continuing through go-live and beyond.
    • Coordinate with internal teams and partners to manage completion of conversion steps on time and with efficient use of resources.
    • Serve as core point of contact for external constituents (client-based, advisor-based) through conversion process.
    • Ensure on-time completion of all milestones, maintenance of detailed implementation status plan, and advanced warning of any risks.
    • Balance competing priorities within and across client implementations.
    • Involve necessary teams to provide input, collateral, or other support on a case-by-case basis.
    • Always maintain frequent correspondence with all relevant parties.

 

Capabilities:

 

    • Deep familiarity with PBM service model and associated steps for a conversion (Network, Formulary, Eligibility, Billing, Call Center, Account Service, File Transfer, etc.).
    • Experience building and maintaining relationships with third party advisors.
    • Experience working with Human resources-based decision makers and/or benefit advisors.
    • Proficiency in MS Office suite (Excel, PowerPoint, Word, in particular).
    • Effective communication skills, both written and verbal.
    • Strong work ethic and willingness to be nimble, flexible to drive projects to completion; heavily deadline-oriented with comfort in managing multiple competing priorities.
    • Ability to take direction and work independently while keeping relevant parties apprised.

 

Status:

 

    • Position will be virtual (work from home) in an office-like environment.

 

Education:

 

    • Associate’s or Bachelor’s degree is required; Master’s degree a plus.

 

Experience:

 

    • 3-5 years minimum of previous experience in pharmacy benefits administration, operations, or related discipline.  Specific experience working with HR buyers (benefits manager, VPHR, etc.) and PBM implementations a plus.

 

Certifications and/or Licensure:

 

    • Professional certification (PMP, CAPM, or like designation a plus, but not required).

 

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