Pharmacy Program Lead - PBM Partnerships & Compliance

McLaren Health Care; Flint (MI); On-site; USD 110,000 - 140,000; Full time

Job summary

McLaren Health Plan seeks a Pharmacy Program Manager to lead end-to-end PBM vendor relationships, contract compliance, and Rx program implementation across Medicaid, Medicare, and Commercial lines. The role requires collaboration with clinical, compliance, quality, finance, and regulatory teams to optimize pharmacy benefit performance and member outcomes.

The position supports cross-functional initiatives and ensures contractual obligations are met, driving high-performance standards within a

Qualifications

• Bachelor's degree in pharmacy, healthcare administration, business, or related field; or an Associate degree with two years related experience; or a High School Diploma or equivalent with four years related experience.
• Three years’ experience in pharmacy program operations, managed care, or PBM environment, including two years’ experience with Medicaid/Medicare requirements.
• Two years’ experience with PBM vendor management and contract oversight including project management with multi-stakeholder implementations.

Responsibilities

• End-to-end oversight of McLaren Health Plan's PBM vendor relationship, contract compliance, and Rx program implementation across all lines of business.
• Collaborate cross-functionally with clinical, compliance, quality, finance, and regulatory teams to optimize pharmacy benefit performance and member outcomes.

Skills

PBM management

Vendor management

Contract oversight

Education

Bachelor's degree in pharmacy or related field

Associate degree with 2 years related experience

High School Diploma with 4 years related experience

Job description

McLaren Health Plan seeks a Pharmacy Program Manager to lead end-to-end PBM vendor relationships, contract compliance, and Rx program implementation across Medicaid, Medicare, and Commercial lines. The role requires collaboration with clinical, compliance, quality, finance, and regulatory teams to optimize pharmacy benefit performance and member outcomes.

The position supports cross-functional initiatives and ensures contractual obligations are met, driving high-performance standards within a