Manager, Pharmacy Benefits
Core
Designing, testing, and monitoring pharmacy benefit plans, networks, formularies, and pricing strategies for health plan members.
Role type
Manager, Pharmacy Benefits
Builds
Pharmacy benefit configurations and network designs for health plan products
Domain
Health Insurance / Pharmacy Benefits Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
pharmacy benefit operations, claims operations, system administration, member enrollment, retail pharmacy background, analytical skills, team leadership
Preferred skills
prior leadership experience, change management
Technologies
pharmacy benefit management systems, claims systems
Responsibilities
Monitor implementation and testing of pharmacy benefit designs and networks; Provide consultation on standard benefits designs; Lead pharmacy benefit configuration for all products; Act as liaison between internal pharmacy teams and PBMs; Motivate and manage remote teams to meet departmental goals
Seniority
Manager, individual contributor with team leadership