Senior Manager PA and DPM - 12 Months Contract- Express Scripts Canada
Core
Lead Prior Authorization (PA) and Drug Plan Management (DPM) operations, serving as a clinical advisor to optimize health benefits and drug formularies for insurance carriers and public sector clients.
Role type
Senior Manager, Clinical Services (PA & DPM)
Builds
Prior Authorization programs and Drug Plan Management services
Domain
Health Benefits Management / Pharmacy Benefit Management (PBM)
Required skills
Pharmacy leadership, strategic planning, operations management, change management, clinical decision-making, team coaching, process improvement, SLA management, bilingual communication
Preferred skills
MBA, advanced clinical training, 5+ years in PBM, 3+ years leadership
Technologies
Standard business software, information management systems
Responsibilities
Lead PA and DPM teams to deliver strategic objectives and meet SLAs; define vision and roadmap for clinical programs; oversee end-to-end delivery and client onboarding; drive process improvements to increase capacity; serve as subject matter expert for complex coverage decisions; manage change initiatives and risk mitigation.
Seniority
Senior Manager, strategic leadership & operations