Manager - PBM/Payer Industry

Reposted 9 Days Ago
Hiring Remotely in Washington, DC, USA
In-Office or Remote
Mid level
Information Technology
The Role
Manage projects and teams in the payer and PBM industry, ensuring efficient delivery, client communication, and successful project management.
Summary Generated by Built In
Company Description

Optimity Advisors is a specialized management consulting and advisory firm that focuses on strategy, operations and IT. Our company is comprised of professional advisors with deep domain expertise in strategy, operational transformation, business intelligence, technology and regulatory compliance. We combine industry expertise and integrated solutions to help companies enhance stakeholder value, improve operations, and address performance and risk-related challenges.

Job Description

PURPOSE

We are currently seeking a Manager with experience in payer systems and pharmacy benefit management (PBM). This position is ideal for a mid-level consultant that has a passion for working with clients to understand their challenges, adapt to the unique situation of the client, and develop solutions. A Manager will lead teams, drive projects, and manage relationships through all phases of the project lifecycle.

RESPONSIBILITIES

Project Delivery and Management

  • Establish and execute a common set of project management processes and tolls for a project, including but not limited to project charters, workplans, issues, risks, and change requests
  • Prepare and manage project plans and address critical issues contributing to problems or delays on a project
  • Serve as day-to-day point of contact for client resources
  • Establish and monitor key project metrics for the project
  • Provide client and Optimity management with reports, metrics, and tools to illustrate the status of the project
  • Manage the internal and external project budget
  • Drive creation of deliverables relevant to each phase of the project lifecycle and as-how analyses as needed
  • Coach to clarify assignments and deliverables; mentor others in project management practices, review quality of work, and manage the integration of team members work

NECESSARY SKILLS

  • Excellent verbal and written communication skills, including strong active listening
  • Aptitude for quick learning and subject matter expertise development
  • Highly self-motivated, detail-oriented, and able to execute in high pressure environment
  • Sound problem solving and analytical skills
  • Strong MS Suite skills including Excel, Word, PowerPoint, and Visio

Qualifications

REQUIRED QUALIFICATIONS

  • Bachelor’s degree, from an accredited university or college, in Healthcare, Business, or another closely related field
  • 3 years of experience in the payer, pharmacy, or related industry
  • Experience managing projects and cross-functional teams
  • Experience with Medicaid clients
  • Experience implementing PBM systems
  • Authorization to work in the United States on a permanent basis

PREFERRED QUALIFICATIONS

  • Experience in health plan operations
  • Experience with Conduent HSP
  • Experience with PBM vendor to core systems integration
  • Experience with Managed Care Organization
  • Demonstrated career progression with increased responsibilities and mentorship

Additional Information

If you are interested in being considered for this position, please apply directly on our website using the following link:

https://optimityadvisors.bamboohr.com/jobs/view.php?id=29&source=aWQ9MjM%3D

Optimity Advisors is an EEO/AA, Veteran, and People with Disabilities employer.

Skills Required

  • Bachelor's degree in Healthcare or Business
  • 3 years of experience in the payer or pharmacy industry
  • Experience managing projects and cross-functional teams
  • Experience with Medicaid clients
  • Experience implementing PBM systems
  • Authorization to work in the United States
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The Company
HQ: Washington, DC
57 Employees
Year Founded: 2009

What We Do

Optimity Advisors supports healthcare payers, providers and pharmacies to navigate industry changes, deliver high-quality care, maximize value and contain costs. Our systematic, collaborative approach and deep healthcare operations experience mean we’ve not only been there and done that, but we’re helping our clients redefine where they’re headed in a continually changing landscape.

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