Program Manager at PEMCO overseeing product or program development and managing cross - functional teams to deliver strategic programs.
About the role
- Clinical Program Advisor providing formulary consulting and modeling support for healthcare clients. Utilizing pharmacy expertise to ensure compliance and optimize client outcomes.
Responsibilities
- Develop and execute formulary modeling for existing clients with close attention to detail and accuracy
- Review custom Utilization Management policies for rebate eligibility or adherence to contract rebate terms
- Analyze the financial impact of client requested formulary changes to both the client and Express Scripts
- Ability to perform independent modeling with little to no modeling oversight by Sr. Manager/Clinical Director
- Identifies and recommends process improvement to streamline formulary consulting modeling
- Field clinical questions from other formulary consulting team members
- Develop and execute formulary modeling opportunities for existing clients with strategy guidance from manager and in close partnership with business partners
- Support standard utilization management review as needed
- Create client presentations and present to senior leaders within client as required
Requirements
- Bachelor’s degree in Pharmacy, Pharm.D. or Bachelor's degree, Finance or related area/MBA a plus
- 2+ years of pharmacy/ PBM/ Managed Care/healthcare related experience
- 1+ years of formulary management/development experience preferred
- Detail Oriented, Organizational, and Analytical skills
- Ability to work independently and execute on deliverables in a timely manner and with little oversight
- Excellent PC skills – including Excel, PowerPoint and MS Access, experience with database
- Financial or analytical modeling experience
- Familiarity with pharmaceutical rebate contracts a plus
- Proven ability to work in a fast paced – ever changing environment
- Excellent relationship building and cross functional skills
- Ability to travel approximately 10%.
Benefits
- Health insurance
- Vision insurance
- Dental insurance
- 401(k)
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
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