Pharmacy Benefits Program Manager

ALTA IT Services, LLC; Baltimore (MD); Hybrid; USD 125,000 - 150,000; Full time

Job summary

An established industry player is seeking a Pharmacy Benefits Program Manager to oversee a significant pharmacy supply chain implementation. This role involves managing vendor relationships, leading strategic initiatives, and ensuring seamless transitions within pharmacy operations. The ideal candidate will possess deep expertise in pharmacy supply chain financial management and PBM transitions. Join a dynamic team where your leadership and strategic decision-making skills will drive impactful outcomes in a fast-paced environment. This is a fantastic opportunity to make a difference in healthcare operations while advancing your career in a supportive and innovative setting.

Qualifications

• 7+ years in pharmacy supply chain or PBM operations required.
• Experience leading PBM transitions or implementations for health plans.

Responsibilities

• Lead business execution team to meet project goals and deadlines.
• Negotiate and manage PBM and pharmacy supply chain contracts.

Skills

PBM contracting

claims adjudication

pharmacy networks

strategic decision-making

vendor management

communication skills

Education

Bachelor’s degree in Business Administration

MBA or Master’s in a business-related discipline

Job description

21 hours ago Be among the first 25 applicants

Job Title: Pharmacy Benefits Program Manager

Client: Health Insurance Organization

Location:Baltimore, MD Hybrid (1-2 times a month)

Contract Type: Contract-to-Hire

Rate: $120/HR






Job Summary

ALTA IT Services is seeking an experienced Pharmacy Benefits Program Manager for a contract-to-hire engagement with a leading health insurance company. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The Program Manager will lead a major pharmacy supply chain implementation and PBM transition, overseeing execution activities, stakeholder alignment, contract and vendor management, and driving overall business readiness.



Key Responsibilities

Project Leadership & Accountability

• Lead and manage the business execution team to meet project goals, objectives, and deadlines.


• Provide strategic direction in collaboration with business sponsors, IT, PMO, and vendors.


• Make critical business decisions in partnership with leadership stakeholders.

Contracts & Vendor Management

• Negotiate and manage PBM and pharmacy supply chain contracts, including Statements of Work (SOWs).


• Monitor vendor performance, resolving issues with IT, PMO, and Operations teams to ensure successful delivery.

Value Story Development and Communication

• Develop and validate the financial and operational value story of the PBM supply chain model.


• Collaborate with executive sponsors to align on organizational impact and cost-benefit outcomes.


• Provide regular updates to stakeholders and adjust value realization strategies as needed.

Cross-Functional Collaboration & Business Readiness

• Facilitate collaboration between IT, PMO, vendors, and business units to ensure a seamless transition.


• Translate business needs into actionable requirements and ensure clear communication across teams.


• Lead meetings with stakeholders to address project status, risks, and mitigation plans.


• Support business readiness by overseeing training, documentation, and operational transition plans.

Risk Management & Performance Optimization

• Identify operational risks and implement mitigation strategies.


• Recommend process improvements for cost efficiency and service enhancement.


• Ensure business continuity and performance throughout project lifecycle.

Qualifications

Required Education & Experience:

• Bachelor’s degree in Business Administration, Healthcare Management, Supply Chain, or related field.


• Minimum 7+ years in pharmacy supply chain, PBM operations, PBM contracting, or related fields.


• Experience leading PBM transitions or implementations for a health plan, PBM, or consulting firm.

In lieu of degree: An additional 4 years of relevant experience is required.

Preferred:

• MBA or Master’s in a business-related discipline.

Required Skills

• Deep expertise in PBM contracting, claims adjudication, pharmacy networks, and rebate/discount financial flows.


• Knowledge of compliance frameworks and regulations impacting pharmacy operations.


• Strong strategic decision-making capabilities in complex, high-visibility environments.


• Familiarity with Medicare, Medicaid, and Commercial pharmacy benefit operations.


• Excellent verbal and written communication skills across all organizational levels.


• Strong leadership and stakeholder engagement skills, including vendor and executive management.


• Proven ability to manage large-scale, multi-functional projects in fast-paced settings.

Ref: #855-IT Baltimore

#M2

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Contract

Job function

• Job function

  Project Management and Information Technology

• Industries

  Staffing and Recruiting

Referrals increase your chances of interviewing at ALTA IT Services, LLC by 2x

Get notified about new Program Manager jobs in Baltimore, MD.

Maryland, United States $130,000.00-$150,000.00 1 week ago

Baltimore, MD $39,000.00-$43,000.00 1 month ago

Clinical Trials Program Manager (Full-Time)

Director of Performance Improvement & Innovation Program Manager Senior I

SENIOR PROGRAM MANAGER, PREVENTION AND PROMOTION DIVISION Program Manager Senior II

Senior eDiscovery Program Manager (Top Secret Clearance Required)

Fulton, MD $130,400.00-$232,900.00 2 weeks ago

eDiscovery Program Manager (Top Secret Clearance Required)

Baltimore, MD $156,986.20-$213,052.70 1 month ago

Chief of Operations PROGRAM MANAGER SENIOR II

Baltimore, MD $90,000.00-$95,000.00 3 weeks ago

People Planning & Initiatives Program Manager

Annapolis Junction, MD $70,800.00-$225,650.00 2 weeks ago

PROGRAM MANAGER III Deputy Director, MSP Licensing Division

Quality Assurance Manager PROGRAM MANAGER I

Annapolis Junction, MD $148,850.00-$269,075.00 1 month ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.