Pharmacy Benefit Management Operations Manager

Operations Management:

Manage day-to-day operations (24/7) in a cost- effective manner, delegate responsibility and authority for providing services, problem-solve issues identified by staff and internal/external stakeholders, and coordinate services in assigned areas with interdisciplinary teams.

Human Resource Management:

Recruit, hire, train, develop, and supervise assigned staff, develop performance standards, and conduct performance reviews.

Program Design & Development:

Develop and/or redesign programs, strategies, facilities and systems for service improvement or expansion. Lean Management: Practice of Performance Excellence (OPEX) for daily management and continuous improvement.

Process/Service Monitoring:

Manage, coordinate/delegate, and schedule appropriate assignment of staff to meet workload demands while assuring availability of adequate resources.

Regulatory & Compliance:

Manage, develop, implement, and maintain necessary policies and procedures, process improvements, training, and monitoring activities to ensure operations are compliant with appropriate laws, regulations, and organizational policies.

Teaching:

PharmD or BPharm (with equivalent experience).
Pharmacy Residency + 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience).

Job Related Knowledge, Skills and Abilities (Competencies):

Pharmacy benefit management including medication policy development, formulary development and benefit design
Excellent communication, written and verbal
Supervision of pharmacists and technicians and other staff
Contemporary Pharmacy Practice
Extensive knowledge of Medicare/Medicaid and Commercial Insurances

MS, MBA,MPH,BCPS
Managed care concepts and knowledge of benefit design and implementation and prior authorization workflows.
Experience in clinical and/or business program development, Microsoft applications and project management
Experience with PBM or health plan

See also