Job Details

PROGRAM Manager w / expert PBM experience

  2025-04-13     UrBench     all cities,OR  
Description:

Location : ONSITE in PORTLAND, OREGON

Duration : 6-months to start with possible extension(s)

Need only locals with DL

PST consultant

MUST BE ABLE TO SET STRATEGY and CONVEY TO C-LEVEL EXECUTIVES. This person MUST understand operational aspects of PBM.

Position Overview :

We are seeking a highly skilled Program Manager with deep expertise in pharmacy benefit programs to lead complex initiatives within our organization. This role will be instrumental in driving the planning, execution, and delivery of strategic projects related to pharmacy benefit management (PBM), formulary implementation, clinical program development, vendor integration, and regulatory compliance.

Ideal candidates will bring a strong background in PBM operations, health plan pharmacy services, or managed care pharmacy programs, combined with outstanding project management skills and the ability to lead cross-functional teams in a fast-paced, evolving healthcare environment.

Key Responsibilities :

  • Program Management :
  • Lead end-to-end management of high-impact pharmacy benefit programs and strategic initiatives.
  • Collaborate with leadership to define program goals, timelines, budgets, and success metrics.
  • Oversee multiple workstreams, ensuring alignment with organizational objectives and compliance standards.
  • Stakeholder Engagement :
  • Serve as a liaison between internal departments and external PBM vendors or partners.
  • Translate business needs into technical requirements, and vice versa, to ensure successful project execution.
  • Provide regular updates and reports to executive stakeholders on progress, risks, and milestones.
  • Process Improvement & Compliance :
  • Identify opportunities to improve pharmacy operations, member experience, and cost-efficiency.
  • Ensure adherence to regulatory requirements (e.g., CMS, NCQA, URAC) and internal quality standards.
  • Implement best practices in PBM operations, utilization management, and benefit design.

Qualifications :

  • Education :
  • Bachelor's degree in Healthcare Administration, Pharmacy, Business, or related field required.
  • Master's degree (e.g., MPH, MBA, PharmD) strongly preferred.
  • Experience :
  • Minimum 5-8 years of experience in program or project management within healthcare.
  • Deep experience (3+ years) in pharmacy benefit management, health plans, PBMs, or clinical pharmacy programs.
  • Proven success managing complex projects with cross-functional teams and external vendors.
  • Skills :
  • Strong understanding of PBM operations, formulary management, prior authorization workflows, rebate strategies, and regulatory guidelines.
  • Excellent organizational, communication, and leadership skills.
  • Proficient with project management tools (e.g., Jira, Asana, MS Project) and methodologies (Agile, Waterfall, Hybrid).
  • PMP, Six Sigma, or related certification preferred.

Please respond by completing the following submission information :

Please send your BEST candidates for consideration with the following information- MUST PROVIDE COPY OF PHOTO ID WITH SUBMITTAL.

Full Name : Email : Phone : COMPLETE Full Address : Relocation : Availability : Work Auth : DOB (MM / DD) : Last 4 Digits SSN : LinkedIn :

Pay rate :

I need two professional references for ALL CANDIDATES- and I will be checking them.

Need the following : Reference Name, Reference Current Company Name, Reference Company Name where both worked together, Reference Job Title at said Company, Relationship between candidate and reference, Reference phone #, Reference WORK EMAIL ONLY, Reference LinkedIn- they MUST have a LINKEDIN

UrBench is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws.

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