Remote Pharmacy Programs Manager – Medicare PBM & Network

hcsc; National (WA); Remote; USD 93,000 - 168,000; Full time

Benefits offered by this job

Health and wellness benefits

401(k) savings plan

Pension plan

Paid time off

Paid parental leave

Disability insurance

Supplemental life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Plus other incentives

Job summary

Health Care Service Corporation (HCSC) seeks a qualified professional to oversee pharmacy networks and manage day-to-day operations with external PBMs across Medicare plans. The role drives vendor performance and maintains pricing accuracy while upholding stringent regulatory standards.

This remote position is based in Nashville and requires working in the East Coast Time Zone, with opportunities for growth and a comprehensive benefits package.

Qualifications

• Experience with pharmacy networks and/or health plans.
• Project management experience.
• Verbal and written communication skills.
• Flexible and able to perform under pressure.
• PC proficiency including Word, Excel, and database experience.

Responsibilities

• Oversee pharmacy networks and manage day-to-day operations with external PBMs.
• Monitor pricing setup accuracy and maintain quality standards.
• Drive PBM vendor performance and perform claims testing.
• Ensure compliance with Medicare, Medicaid, and enterprise regulations.

Skills

Pharmacy networks experience

Project management

Verbal and written communication

Flexible under pressure

PC proficiency

Tools

Word

Excel

Database experience

Job description

Health Care Service Corporation (HCSC) seeks a qualified professional to oversee pharmacy networks and manage day-to-day operations with external PBMs across Medicare plans. The role drives vendor performance and maintains pricing accuracy while upholding stringent regulatory standards.

This remote position is based in Nashville and requires working in the East Coast Time Zone, with opportunities for growth and a comprehensive benefits package.