Principal Project/Program Manager, Pharmacy

Job Description

Leads and manages the day-to-day operational and tactical aspects of all commercial-related PBM activities, new initiatives, and other ongoing business deliverables in accordance with business needs. Identifies, evaluates, and resolves issues with PBM-related deliverables. Resolves issues by utilizing facts, knowledge, and experience to steer towards favorable business outcomes. Serves as a trusted solutions advisor by developing strong stakeholder relationships. Collaborates closely with project team members, business owners, and sponsors to develop and successfully implement projects/programs. Assesses ongoing business value and updates the roadmap for upcoming product features. Oversees programs to ensure initiatives have required resources, meet milestones, and are successfully implemented. Leads and coordinates matrixed and/or cross-functional teams. Acts as a primary liaison to drive continuous improvement for operational and user experiences. Defines user stories, features, and tasks to alleviate stakeholder pain points and maximize business value.

What You'll Do

• Develops PBM strategic and tactical roadmaps and recommendations in support of corporate pharmacy objectives and leads implementation; tracks and reports on the status of efforts related to our PBM. Must ascertain, categorize, and manage projects and value delivery in relation to corporate priorities.

• Negotiates resources to staff projects effectively with appropriate skill sets, aligning skills to the project's needs.

• Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.

• Coordinates development and implementation of policies and procedures as well as development of compliance measurements.

• Controls and monitors project effectiveness; updates project plans, as necessary.

• Ensures compliance with necessary audit requirements.

• Represents Blue Cross NC in meetings with external parties including consultants, vendors, and others, and may include service delivery management of vendors.

• Assists with analysis and development of business processes to ensure quality, cost-effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.

• Develops escalation processes to channel issues and concerns to appropriate parties. Pre-empts and avoids conflicts using escalation paths effectively.

• Evaluates program risks, developing contingency plans, and responding to changes in risk as initiatives progress.

• Develops effective business process improvement initiatives and communication plans.

• Performs analytic functions and coaches others in analytical production, technical, and other areas.

• Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (e.g., Cost/Benefit Analysis, Flowcharting, etc.).

• Documents and presents program management results through the development of criteria, issue analysis papers, and reports; ensures that projects establish objectives such as financial goals, where applicable, and creates an evaluation plan to assess project performance in relation to stated goals.

• Develops and tracks budgets, operating plans, and financial cost forecasts to support the program's objectives.

• Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/mentoring, and/or training.

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree.

• 5+ years of experience in a related field.

• In lieu of a degree, 7+ years of experience in a related field.

• Direct experience leading and implementing pharmacy programs.

• Extensive experience with PBMs is preferred.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets,  licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. 

*Based on annual corporate goal achievement and individual performance.
 

$91,100.00 - $164,000.00 Apply