Senior Project Manager II, Pharmacy Value Programs

17 minutes ago
Full-time
Senior
Project and Program Management
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017

Description

  • Develop and manage new and existing drug cost containment programs across Commercial, Exchange, Medicare, and Medicaid lines of business.
  • Partner with internal stakeholders, external vendors, and pharmacy partners to plan and execute program implementations.
  • Maintain implementation plans, workflow guides, training materials, and other program documentation.
  • Implement quality control processes, conduct audits, and drive corrective actions to ensure compliance with standards and guidelines.
  • Own vendor relationships and oversee third-party pharmacies and other partners to support program delivery, member experience, and cost savings.
  • Work with the Analytics team to produce opportunity analyses and savings performance reporting.
  • Support commercialization efforts including pricing, marketing enablement, implementation, and RFI/RFP responses.
  • Evaluate market trends and prescription claims data to identify product improvement and new product opportunities.
  • Support continuous quality improvement initiatives and process redesign efforts.

Requirements

  • Bachelor’s degree required.
  • 4+ years of experience in health care cost management, including health plans, PBMs, value-based care, managed care, or related consulting/tech enablement roles.
  • Ability to manage multiple complex projects simultaneously with minimal direction.
  • Strong time management and organizational skills.
  • Exceptional written, verbal, and presentation skills.
  • Experience working with data reporting tools and interpreting data analyses, reports, and visualizations.
  • Master’s degree in a relevant field such as PharmD, MBA, or MHA/MHP preferred.
  • Experience with prescription drug channels and payment workflows preferred.
  • Experience with health insurance or health benefits administration, especially pharmacy benefits, preferred.
  • Experience with CRM tools, Jira/Salesforce, SharePoint-based workbooks, SQL, or Python preferred.
  • Proficiency with Microsoft Office, especially Excel and PowerPoint.
  • Ability to travel occasionally for internal, client, and vendor/partner meetings.

Benefits

  • Salary range of $131,600–$164,500 in New York, $120,400–$150,500 in Denver, and $109,600–$137,000 in Charlotte.
  • Equal employment opportunity and anti-discrimination workplace policies.
  • Opportunity to work on strategic pharmacy savings programs across major health plan lines of business.

Interested in this position?

Apply directly on the company website

Apply Now

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