Pharmacy Program Manager

Jobtailor; Deutschland; Remote; EUR 52.000 - 74.000; Vollzeit

Zusammenfassung

Jobtailor seeks a proactive PBM Operations Administrator to support the PBM team’s day-to-day activities, meetings, documentation, and vendor coordination. You will liaise with senior leadership and cross-functional partners to ensure timely communication and execution of pharmacy initiatives.

The role covers formulary updates, benefit configuration, and preparation of P&T committee materials, with emphasis on accuracy and process improvement.

Qualifikationen

• Bachelor’s degree required and Pharmacy Technician license active.
• 3+ years in healthcare, managed care, PBM, or pharmacy ops.
• Strong organizational and project management skills with accuracy.
• Excellent written and verbal communication with leadership and vendors.
• Familiarity with pharmacy benefits, claims processing, and terminology.

Aufgaben

• Support day-to-day PBM team admin and operations, including scheduling and meetings.
• Coordinate PBM leadership, executive, vendor, and pharmacy-related meetings.
• Act as liaison between PBM team, leadership, vendors, and cross-functional groups.
• Support health plan pharmacy operations and ensure alignment with formulary strategy.
• Assist with formulary updates, drug file reviews, and benefit configuration.

Kenntnisse

Project management

Communication

Organizational skills

Problem-solving

Vendor management

Cross-functional collaboration

Attention to detail

Documentation

Pharmacy terminology

Ausbildung

Bachelor’s degree

Active Pharmacy Technician License

Project Management Certification

Tools

Google Suite

Microsoft Office

Adobe Acrobat

Video Conferencing Software

Jobbeschreibung

• Support the day-to-day administrative and operational activities of the PBM team, including scheduling, meeting coordination, documentation, correspondence, and tracking of key initiatives and deliverables.
• Coordinate and support PBM leadership meetings, executive meetings, vendor meetings, and other pharmacy-related meetings and initiatives.
• Serve as a liaison between the PBM team, senior leadership, vendors, and cross-functional departments to facilitate timely communication, issue resolution, and execution of pharmacy initiatives.
• Support health plan pharmacy operations and coordinate with vendors to ensure operational processes and services align with approved benefit design, formulary strategy, and business requirements.
• Support formulary implementation and maintenance activities, including formulary updates, drug file reviews, benefit configuration coordination, and related operational activities.
• Assist with preparation and coordination of Pharmacy & Therapeutics (P&T) Committee materials, meeting agendas, drug reviews, documentation, and follow-up activities.
• Review, maintain, and coordinate updates to prior authorization (PA) guidelines, pharmacy FAQs, member and provider education materials, and other pharmacy-related communications.
• Collaborate with PBM leadership and key stakeholders to communicate pharmacy strategies, clinical programs, benefit changes, and other pharmacy initiatives across the organization.
• Develop and coordinate training and educational materials for Member Services, Account Management, Sales, Operations, and other teams as appropriate.
• Assist the Director of Pharmacy Networks with pharmacy network-related activities and initiatives.
• Maintain and update monthly pharmacy network files and related documentation.
• Review and analyze network reports, audits, and identified issues and coordinate appropriate follow-up.
• Support pharmacy network monitoring, maintenance, and issue resolution activities.
• Assist with direct pharmacy contracting initiatives and related documentation and follow-up.
• Support pharmacy network projects, operational needs, and other initiatives as assigned.
• Track pharmacy projects, action items, deadlines, and deliverables to support timely execution and accountability.
• Identify opportunities to improve pharmacy processes, workflows, communications, and operational efficiency.
• Support vendor management activities, including coordination of deliverables, issue tracking, documentation, and follow-up.
• Maintain appropriate documentation and records related to pharmacy programs, operations, vendors, and regulatory requirements.
• Support other Pharmacy and health plan operational initiatives as needed.

Requirements

• Bachelor’s degree required
• Must possess an active Pharmacy Technician license in the applicable PTCB
• 3+ years of experience in healthcare, managed care, PBM, pharmacy operations, or a related field.
• Strong organizational and project management skills, with the ability to manage multiple priorities, deadlines, and projects with a high degree of accuracy and attention to detail.
• Excellent written and verbal communication skills, with the ability to effectively communicate with senior leadership, vendors, and cross-functional teams.
• Working knowledge of pharmacy benefits, claims processing, pharmacy operations, and prescription drug terminology.
• Demonstrated ability to proactively identify issues, exercise sound judgment, and develop practical solutions in a fast-paced environment.
• Highly resourceful and collaborative, with the ability to work independently and effectively across multiple departments and external business partners.
• Ability to handle confidential information with discretion and adapt to changing priorities.
• Proficient in Google Suite, Microsoft Office (Outlook, Word, Excel, and PowerPoint), Adobe Acrobat, and Video Conference Software (Zoom, Google Meets, WebEx, Teams, etc.)
• Project Management certification preferred

Core Competencies

Demonstrates expertise in pharmacy operations, project management, and effective communication with cross-functional teams. Proficient in managing multiple priorities while ensuring compliance with pharmacy benefit design and operational processes.

Highest-signal resume keywords

• Pharmacy Technician License
• Healthcare Experience
• Project Management Skills
• Pharmacy Benefits Knowledge
• Vendor Management

ATS Optimization Keywords

Hard Skills

• Pharmacy Operations
• Claims Processing
• Formulary Management
• Prior Authorization Guidelines
• Documentation Coordination
• Operational Efficiency Improvement
• Drug File Reviews
• Pharmacy Network Monitoring
• Issue Resolution
• Training Material Development

Soft Skills

• Organizational Skills
• Attention to Detail
• Communication Skills
• Collaboration
• Problem-Solving

Certifications & Qualifications

• Project Management Certification
• Active Pharmacy Technician License

Industry Keywords

• Pharmacy Benefit Manager (PBM)
• Managed Care
• Healthcare
• Pharmacy & Therapeutics (P&T) Committee
• Operational Processes

Tools & Technologies

• Google Suite
• Microsoft Office
• Adobe Acrobat
• Video Conference Software