GENERAL OVERVIEW
The Program Manager will actively maintain the product and program pipeline for enhancements, possess in-depth knowledge of program membership and enrollment changes, and guide continuous improvement efforts by managing feedback loops. This position requires significant cross-functional collaboration and managing interdependencies within a group of projects and related activities, all within defined scope, quality, time, and budget constraints, and under circumstances involving multiple moderate-probability, moderate-impact risk factors.
ESSENTIAL RESPONSIBILITIES
- Develop program goals, objectives, and roadmaps that align with the company's overall strategy.
- End-to-end ownership, definition, implementation, and continuous evolution of complex Specialty Pharmacy programs that include comprehensive program management, product management, and program effectiveness responsibilities.
- Serve as the main point of contact for stakeholders, providing regular updates on progress, goals, and challenges.
- Designing program dashboards, actively monitoring program health, and collaborating with Pharmacy Analysts/Consultants for variance investigations, inquiries, and audits.
- Manage a matrix group of employees and contractors on project teams or within departmental work groups to achieve coordinated program benefits.
- Guide the stakeholders through the process by evaluating risks and providing a communication plan. FTE would provide support during and after the implementation.
- Identify potential risks, develop mitigation plans, and resolve issues that arise during the program lifecycle.
- Track progress, monitor key performance indicators, and make adjustments as needed to ensure project and program goals are met.
RESPONSIBILITIES
EDUCATION
Minimum
- High School Diploma / GED
Substitutions
- None
Preferred
- Bachelor’s degree in Business Administration or Technology Management-related area of study
- MBA or Master’s Degree in Technology Management-related area of study
EXPERIENCE
Minimum
- 7 -10 years of work experience in project management or
- 7-10 years of work experience delivering business solutions using information technology
Preferred
- Managing large-scale, cross-functional projects and complex initiatives.
- Experience with risk management, change management, and process improvement
LICENSES/CERTIFICATIONS
Required
- None
Preferred
- PMP or Certification in Project Management
SCOPE OF RESPONSIBILITY
Does this role supervise/manage other employees?
No
WORK ENVIRONMENT
Is Travel Required?
Yes
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies
Note: Job duties and responsibilities support separation of duties across multiple users
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$78,900.00Pay Range Maximum:
$147,500.00Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Top Skills
What We Do
Highmark Health, a Pittsburgh, PA based enterprise that employs more than 40,000 people who serve millions of Americans across the country, is the second largest integrated health care delivery and financing network in the nation based on revenue. Highmark Health is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to nearly 5 million members in Pennsylvania, West Virginia and Delaware as well as dental insurance, vision care and related health products through a national network of diversified businesses that include United Concordia Companies, HM Insurance Group, and Visionworks. Allegheny Health Network is the parent company of an integrated delivery network that includes eight hospitals, more than 2,800 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. HM Health Solutions focuses on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge and integrated cloud-based platforms.
A national blended health organization, Highmark Health and our leading businesses support millions of customers with products, services and solutions closely aligned to our mission of creating remarkable health experiences, freeing people to be their best.
Headquartered in Pittsburgh, we're regionally focused in Pennsylvania, Delaware, West Virginia and New York, with customers in all 50 states and the District of Columbia.
We passionately serve individual consumers and fellow businesses alike. Our companies cover a diversified spectrum of essential health-related needs, including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative technology solutions.
We’re also proud to carry forth an important legacy of compassionate care and philanthropy that began more than 170 years ago. This tradition of giving back, reinvesting and ensuring that our communities remain strong and healthy is deeply embedded in our culture, informing our decisions every day.









