Manager, Pharmacy Operations
Core
Leading pharmacy operations for a nonprofit health organization serving older adults, ensuring regulatory compliance and managing relationships with Pharmacy Benefit Managers (PBMs).
Role type
Manager, Pharmacy Operations
Builds
Medicare Advantage and Part D pharmacy benefit programs for older adults
Domain
Healthcare / Medicare Part D / Nonprofit
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medicare Part D expertise, regulatory compliance, PBM operations management, data analysis, team leadership, process improvement, SQL, MS Office
Preferred skills
Pharmacy Technician License, AI curiosity
Technologies
SQL, MS Office (Word, Excel, PowerPoint, Access, Visio, Outlook)
Responsibilities
Ensure regulatory compliance for prescription benefits and CMS audits; Oversee accurate implementation of pharmacy benefits and network; Lead automation efforts for Prescription Drug Event data; Manage PBM operations and claims adjudication; Develop and maintain department policies and procedures; Lead and train pharmacy analysts and administrators.
Seniority
Manager, hands-on leadership