5 Years of relevant experience with field sales or renewal sales, specifically within Life Sciences. We're looking for an experienced Account Manager, Payer &……
Once a client is live, you own the relationship and the outcomes — operating with a client-first mindset and treating every account like your own business.…
Use data analysis to provide valuable insights to clients, helping them make informed decisions about their pharmacy benefits that increase the value and……
Bachelor’s degree, from an accredited university or college, in Healthcare, Business, or another closely related field. Experience in health plan operations.…
Serve as the execution layer for activation strategy — whether that's coordinating with Radius leads in regional markets or working inside national partner……
Build and manage high-touch relationships with leaders, implementing partners, and key stakeholders across your track — whether that's local organizations in……
The successful candidate will be responsible for managing key client relationships, take an operational approach to account management, ensuring the delivery of……
Advanced degree in a relevant field (MBA, MPH, technical discipline). Partner closely with design, engineering, and clinical experts to create elegant solutions……
Manage the transition from implementation state to steady-state client success with thorough handoff documentation. Risk Management and Problem Solving.…
Implementation Management (Client / Benefit Plan Delivery) - Lead end-to-end benefit plan implementations from initiation through go-live and stabilization -……
Lead customer engagements for all scaled engagement models and touchpoints including onboarding (welcome, success kickoff) engagements; quarterly pre–go-live……
Technical Project Management experience — PMP or equivalent certification a plus, particularly in SaaS implementation or managed services environments.…
Experience communicating technical concepts to both technical and non-technical audiences. Bachelor's degree in Computer Science, Engineering, Business, or a……
Support state drug price transparency reporting obligations by preparing data, maintaining supporting files, and coordinating submissions to ensure reporting……
As the national payer/PBM customer expert, integrate and communicate with all other commercial functions (marketing, field sales, legal) to ensure all market……
Lead Quality Assurance (QA) and Audit Cycles - design and execute quality audits across all channels and tasks performed by the internal Member Care Team to……
Provides strategic oversight of all pharmacy functions, including Pharmacy Benefit Manager (PBM) performance, formulary strategy, benefit design, and cost……
Ensure compliance with all federal, state, and third-party regulations. Knowledge of HIPAA, DEA, CMS, FDA, state pharmacy regulations, and third-party billing.…
Work with cross-functional departments by providing support to brokers, IPA/PCPs as necessary; with an emphasis on front-line eligibility, application……
PharmD or Bachelor of Science in Pharmacy degree with an active pharmacist license. Educational Champion: Educate clients on the benefits of our clinical……
Minimum 2 years or more of healthcare experience required with pharmaceutical field experience preferred. Bachelor’s degree in business, finance, healthcare or……
Collaborate with departments to develop and capitalize on technology and health information. Educate clients on clinical programs and solutions to increase rate……
Must possess a valid driver’s license and be able to travel several times per month on average. *Pharmacist (PharmD) with a current, unrestricted license in at……
Build and maintain integrations with external vendors and partners — medical bill review (MBR), pharmacy benefit managers (PBM), bureau reporting (NCCI, state……
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Seeking a Senior Project Manager with strong PBM/Health Plan experience to lead complex, multi-vendor healthcare implementations. The ideal candidate will have expertise in pharmacy claims, NCPDP standards, project governance, testing, and go-live execution.
Responsibilities
Lead end-to-end PBM and healthcare implementation projects.
Manage project plans, timelines, RAID logs, risks, and dependencies.
Coordinate business, IT, operations, and third-party vendors.
Oversee SIT, UAT, go-live, and post-production support.
Drive executive reporting, stakeholder communication, and project governance.
Ensure projects are delivered on time and within scope.
Required Skills
12+ years of Project Management experience.
Healthcare/PBM or Health Plan experience.
Multi-vendor implementation experience.
NCPDP D.0, F6, Batch, and SCRIPT.
Claims adjudication platforms (RxClaim, JUDI, or Abarca).
Strong leadership, communication, and stakeholder management.