Pharmacy Benefit Management Operations Manager

Operations Management: • Manage day-to-day operations (24/7) in a cost- effective manner, delegate responsibility and authority for providing services, problem-solve issues identified by staff and internal/external stakeholders, and coordinate services in assigned areas with interdisciplinary teams. Human Resource Management: • Recruit, hire, train, develop, and supervise assigned staff, develop performance standards, and conduct performance reviews. Program Design & Development: • Develop and/or redesign programs, strategies, facilities and systems for service improvement or expansion. Lean Management: Practice of Performance Excellence (OPEX) for daily management and continuous improvement. Process/Service Monitoring: • Manage, coordinate/delegate, and schedule appropriate assignment of staff to meet workload demands while assuring availability of adequate resources. Regulatory & Compliance: • Manage, develop, implement, and maintain necessary policies and procedures, process improvements, training, and monitoring activities to ensure operations are compliant with appropriate laws, regulations, and organizational policies. Teaching: • Responsible for technician, pharmacist, student and resident training. • PharmD or BPharm (with equivalent experience). • Pharmacy Residency + 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience). Job Related Knowledge, Skills and Abilities (Competencies): • Pharmacy benefit management including medication policy development, formulary development and benefit design • Excellent communication, written and verbal • Supervision of pharmacists and technicians and other staff • Contemporary Pharmacy Practice • Extensive knowledge of Medicare/Medicaid and Commercial Insurances • MS, MBA,MPH,BCPS • Managed care concepts and knowledge of benefit design and implementation and prior authorization workflows. • Experience in clinical and/or business program development, Microsoft applications and project management • Experience with PBM or health plan • PharmD or BPharm (with equivalent experience). • Pharmacy Residency + 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience). Job Related Knowledge, Skills and Abilities (Competencies): • Pharmacy benefit management including medication policy development, formulary development and benefit design • Excellent communication, written and verbal • Supervision of pharmacists and technicians and other staff • Contemporary Pharmacy Practice • Extensive knowledge of Medicare/Medicaid and Commercial Insurances • MS, MBA,MPH,BCPS • Managed care concepts and knowledge of benefit design and implementation and prior authorization workflows. • Experience in clinical and/or business program development, Microsoft applications and project management • Experience with PBM or health plan