Pharmacy PBM Operations Manager (Hybrid)

Illinoiscomptroller; Springfield (IL); Hybrid; USD 134,000 - 156,000; Full time

Benefits offered by this job

Hybrid work schedule

Job summary

The Department of Healthcare and Family Services seeks a Pharmacy Operations Manager to oversee the Statewide Medicaid Pharmacy Benefit Program, ensuring safe, effective, and high-quality care for customers. The role demands a detail-oriented clinical professional with strong PBM knowledge and the ability to manage multiple priorities in a fast-paced environment.

The ideal candidate will collaborate with cross-functional teams, vendors, and leadership to ensure compliant, efficient, and

Qualifications

• Requires completion of a five-year College of Pharmacy, including formal training in clinical pharmacy or ASHP Introduction to Clinical Pharmacy.
• Requires current Illinois Pharmacist license.
• Requires three years of professional pharmacist experience dispensing drugs and billing payers in retail.
• Three years of experience with agency programs, contracts, and operational systems is preferred.
• Experience with managing pharmacy programs for a large Medicaid-like program is a plus.

Responsibilities

• Organize, plan, evaluate, formulate and execute the Statewide Medicaid Pharmacy Benefit Program.
• Contribute to drug utilization evaluations to inform policy and procedures.
• Conduct pharmacoeconomic analyses of drugs within a PDL class.
• Serve as working supervisor and liaison to EDW contract staff for reporting.
• Ensure accurate rebate invoicing and updates to the department website.

Skills

Pharmacy operations management

Pharmacy benefit management

Regulatory compliance

Cross-functional collaboration

Data analysis

Education

Pharmacist license in Illinois

PharmD / Doctor of Pharmacy

Job description

The Department of Healthcare and Family Services seeks a Pharmacy Operations Manager to oversee the Statewide Medicaid Pharmacy Benefit Program, ensuring safe, effective, and high-quality care for customers. The role demands a detail-oriented clinical professional with strong PBM knowledge and the ability to manage multiple priorities in a fast-paced environment.

The ideal candidate will collaborate with cross-functional teams, vendors, and leadership to ensure compliant, efficient, and