Hybrid Pharmacy Projects Manager

Moda Health; Portland (OR); Hybrid; USD 60,000 - 75,000; Full time

Benefits offered by this job

Medical/dental/vision

401K matching

FSA

EAP

PTO/holidays

Job summary

Moda Health in Portland, OR seeks a Pharmacy Project Manager to coordinate cross-functional pharmacy operations initiatives. In this hybrid, FT role, you’ll drive projects from planning through post-implementation with leadership collaboration and vendor coordination.

You will develop plans, manage timelines, and track risks while ensuring regulatory and operational readiness. A strong background in pharmacy operations and PMP/CAPM is preferred.

Qualifications

• Bachelor's degree or equivalent combination of education and relevant experience in healthcare administration, business administration, pharmacy, project management, or a related field.
• Five or more years of professional experience in pharmacy operations, pharmacy benefit management, health plan administration, or a closely related healthcare environment.
• Demonstrated knowledge of pharmacy benefit administration, pharmacy operations, claims adjudication, and regulatory requirements across Commercial, Exchange, Medicare, and Medicaid lines of business.
• Demonstrated experience leading or coordinating complex cross-functional projects, operational implementations, system enhancements, or process improvement initiatives.
• Experience supporting new client implementations, operational readiness activities, or enterprise project deployments within a healthcare environment preferred.
• Working knowledge of pharmacy operations, claims administration, benefit configuration, reimbursement methodologies, and pharmacy operational workflows.
• Demonstrated ability to manage multiple concurrent projects, prioritize competing demands, and consistently deliver results within established timelines.
• Demonstrated ability to work independently while building collaborative relationships across departments, business partners, vendors, and external stakeholders.
• Strong written, verbal, presentation, and interpersonal communication skills, with the ability to communicate effectively with technical and non-technical audiences.
• Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Project or comparable project management software.
• Experience developing project plans, facilitating meetings, documenting decisions, tracking action items, and communicating project status to leadership and stakeholders.

Responsibilities

• Lead cross-functional pharmacy operations projects from initiation through implementation and post-implementation support.
• Develop project plans, timelines, milestones, risk mitigation strategies, communication plans, and success metrics to support successful execution.
• Coordinate implementation activities across Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, vendor partners, and other business stakeholders.
• Monitor project progress, proactively identify risks, dependencies, and barriers, and drive timely resolution.
• Facilitate project governance meetings, implementation meetings, and stakeholder discussions with clear agendas, action items, and documented follow-up.
• Lead project management activities supporting new client implementations, pharmacy vendor transitions, pharmacy program launches, and strategic business initiatives.
• Coordinate implementation readiness across impacted departments, ensuring timelines, deliverables, testing, training, and operational dependencies are completed prior to go-live.
• Partner with internal teams and external vendors to manage implementation plans, issue logs, decision tracking, and cutover activities.
• Conduct post-implementation reviews, capture lessons learned and identify opportunities to improve future implementation processes.
• Lead the coordination of pharmacy technology enhancement initiatives, including claims adjudication, prior authorization, formulary management, and other pharmacy operational platforms, ensuring effective project planning, stakeholder alignment, and successful implementation.
• Coordinate vendor-led implementations, system enhancements, upgrades, and operational changes impacting pharmacy services.
• Partner with business and technical teams to define business requirements, coordinate user acceptance testing, validate system functionality, and support implementation activities.
• Monitor vendor deliverables, project timelines, and operational performance to ensure commitments are met.
• Escalate complex operational or system issues as appropriate and coordinate cross-functional resolution efforts.
• Manage multiple concurrent projects with competing priorities while maintaining high quality and timely delivery.
• Develop project scopes, work plans, timelines, resource requirements, and success metrics.
• Drive accountability by establishing ownership, monitoring deliverables, and ensuring commitments are completed on schedule.
• Identify project risks, operational impacts, and implementation dependencies, recommending mitigation strategies when needed.
• Support strategic initiatives that improve pharmacy operations, regulatory readiness, operational performance, and service delivery.
• Promote continuous improvement through project management best practices, process standardization, and effective stakeholder engagement.

Skills

Cross-functional leadership

Project management

Healthcare operations

Regulatory compliance

Communication skills

Problem solving

Education

Bachelor's degree or equivalent in healthcare administration

Tools

Microsoft Office

Excel

PowerPoint

Project

Job description

Moda Health in Portland, OR seeks a Pharmacy Project Manager to coordinate cross-functional pharmacy operations initiatives. In this hybrid, FT role, you’ll drive projects from planning through post-implementation with leadership collaboration and vendor coordination.

You will develop plans, manage timelines, and track risks while ensuring regulatory and operational readiness. A strong background in pharmacy operations and PMP/CAPM is preferred.