Manager - PBM/Payer Industry

Optimity Advisors; Washington (District of Columbia); On-site; USD 80,000 - 100,000; Full time

Job summary

Optimity Advisors in Washington, DC is looking for a Manager experienced in payer systems and pharmacy benefit management (PBM). This mid-level consultant role involves leading teams, driving projects, and managing client relationships.

Qualified candidates will have a Bachelor’s degree and several years of experience in the payer or pharmacy sector. Strong communication, analytical skills, and MS Suite proficiency are essential for success.

Qualifications

• 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.

Responsibilities

• Establish and execute project management processes.
• Prepare and manage project plans addressing critical issues.
• Serve as day‑to‑day contact for client resources.
• Manage internal and external project budget.
• Mentor others in project management practices.

Skills

Excellent verbal and written communication skills

Aptitude for quick learning

Highly self‑motivated

Sound problem solving skills

Strong MS Suite skills

Education

Bachelor’s degree in Healthcare, Business, or related field

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Microsoft Visio

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

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