Pharmacy Program Associate

name; Atlanta (GA); Hybrid; USD 87,188 - 114,434; Full time

Benefits offered by this job

Unlimited vacation

Employee benefits

Annual performance bonuses

Job summary

Oscar is looking for a Pharmacy Program Associate in Atlanta, GA, to support program implementation and operational improvements. The role involves daily organization of activities and collaboration with stakeholders to ensure operational excellence.

This position offers a hybrid work schedule and the potential for performance bonuses. Applicants must have a Bachelor's degree or equivalent experience, with 3+ years in a relevant field.

Qualifications

• Bachelor's degree or 4 years commensurate experience.
• 3+ years working for a PBM, Payer, or Pharmacy Consulting firm.
• 1+ years working with health insurance regulation/compliance.

Responsibilities

• Organize and support daily activities based on the goals of the program.
• Identify optimization opportunities to support program objectives.
• Lead certain components of the program.

Skills

Healthcare data review

Cross-functional team leadership

Change management

Health insurance regulation

Technical integration

Education

Bachelor's degree or 4 years experience

Tools

RxClaim

Jira

Monday.com

Job description

Hi, we're Oscar. We're hiring a Pharmacy Program Associate to join our team Pharmacy Program and Implementation.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role

You will support all activities related to program implementation goals and post implementation oversight and monitoring to ensure success. Also, support operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization and helping implement project management fundamentals and standards across the organization. You will build relationships with key internal and external stakeholders to ensure business alignment and support change management.

You will report into the Director, Pharmacy Programs.

Work Location

This position is based in our Atlanta, GA office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule.

Pay Transparency

The base pay for this role is: $87,188 - $114,434 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities

• Organize and support daily activities based on the goals of the program
• Identify optimization opportunities to support program objectives
• Support implementations end to end to ensure success
• Lead certain components of the program
• Partner with other departments and various stakeholders to ensure operational excellence
• Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
• Support the tracking and monitoring of controls
• Develop tools and standards to support team programs year over year based on program retros
• Develop meeting materials, track and follow-up on action items, assist with management of all project plans
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements

• Bachelor's degree or 4 years commensurate experience.
• 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data.
• 3+ years leading cross-functional teams/projects and change management.
• 1+ years working with health insurance regulation/compliance.
• 1+ years working with technical teams, integrations or product management.

Bonus points

• Experience with medical payer and PBM claims adjudication systems, such as RxClaim.
• Experience with pharmacy claim testing and Quality Assurance (QA).
• Experience with a ticketing system such as Jira or Appian.
• Experience with Project Management systems such as Monday.com.
• Experience with payers offering ACA/health exchange insurance.

Additional information

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

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Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([e-mail]) to make the need for an accommodation known.

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