Remote Pharmacy Programs & PBM Operations Lead

Health Care Service Corp.; National (WA); Hybrid; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation is seeking a Senior Pharmacy Network Manager to oversee the pharmacy network and collaborate with PBMs for Medicare plans. You will drive performance, monitor pricing accuracy, and ensure operational standards are met while maintaining strict regulatory compliance.

The role requires experience with pharmacy networks and project management, strong communication skills, and proficiency in Word/Excel.

Qualifications

• Experience with pharmacy networks and/or health plans.
• Strong verbal and written communication skills.
• Project management experience and ability to perform under pressure.
• PC proficiency including Word and Excel; database experience.

Responsibilities

• Provide comprehensive pharmacy network oversight across Medicare plans.
• Manage day-to-day operations with external PBMs.
• Monitor network pharmacies for pricing accuracy and quality standards.
• Ensure compliance with Medicare, Medicaid, and enterprise regulatory standards.

Skills

Project management

Communication skills

Word & Excel proficiency

Database experience

Tools

Microsoft Word

Microsoft Excel

Database systems

Job description

Health Care Service Corporation is seeking a Senior Pharmacy Network Manager to oversee the pharmacy network and collaborate with PBMs for Medicare plans. You will drive performance, monitor pricing accuracy, and ensure operational standards are met while maintaining strict regulatory compliance.

The role requires experience with pharmacy networks and project management, strong communication skills, and proficiency in Word/Excel.