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Senior Project Manager, Market Access Programs

2 months ago
United States
Full-time
Senior
Project Manager
Project and Program Management
JIRA Python Salesforce SQL
Apply Now
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
View All Jobs 34

Description

  • Develop and maintain new and existing market access programs across all relevant lines of business.
  • Plan and execute program implementations with internal stakeholders, external vendors, and pharmacy partners.
  • Maintain implementation plans, workflow guides, training materials, rule sets, and other program documentation.
  • Implement quality control processes, conduct audits, and coordinate corrective actions to ensure compliance.
  • Own relationships with third-party vendors and pharmacy or manufacturer partners to support program administration and member experience.
  • Partner with Analytics to build opportunity assessments and ongoing savings performance reporting.
  • Support go-to-market activities for new offerings, including pricing, marketing enablement, implementation support, and RFI/RFP submissions.
  • Evaluate market trends and prescription claims data to identify improvement opportunities and new partnership or program ideas.

Requirements

  • Bachelor’s degree is required.
  • 4+ years of experience in healthcare-related environments such as health plans, PBMs, pharmacies, manufacturers, value-based care, managed care, consulting, advising, or tech enablement in these areas.
  • 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 is preferred.
  • Experience with prescription drug channels and payment workflows, including pharmacy reimbursement, rebate administration, GPO relations, and regulatory requirements, is preferred.
  • Experience with health insurance or health benefits administration, especially pharmacy benefits, is preferred.
  • Experience developing and using workflow or data management technology such as CRM tools, Jira/Salesforce, or SharePoint-based Excel workbooks is preferred.
  • Programming experience with SQL or Python is preferred.
  • Proficiency in Microsoft Office Suite, especially Excel and PowerPoint, is preferred.
  • Ability to think strategically, identify inefficiencies, and improve processes through automation and redesign is preferred.
  • Highly detail-oriented and analytical is preferred.
  • Ability to travel occasionally for internal, client, and vendor or partner meetings is preferred.

Benefits

  • Remote work with US-based salary range of $93,200–$147,000.
  • New York, NY salary range of $117,600–$147,000.
  • Denver, CO salary range of $108,000–$135,000.
  • Equal employment opportunity and a workplace committed to diversity and inclusion.

Interested in this position?

Apply directly on the company website

Apply Now

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