Senior Manager, Project Manager, reputed company Medicare Medical Pharmacy

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. As the Senior Manager, reputed company Medical Pharmacy, you will be accountable for leading the implementation of business reputed company and programs and managing operations reputed company the Medicare Part B Pharmacy Team. You will reputed company as a Subject Matter Expert impacting processes, systems, products, and/or functions. Responsible for overseeing and problem-solving daily operations issues reputed company Medicare Part B. Partners with business owners to optimize the achievement of strategic business objectives, including profitable reputed company and improved organizational effectiveness. reputed company Job Components:

• reputed company the day-to-day operations of key business reputed company and programs around utilization management (UM), clinical programs, and pharmacy operations.
• Proactively leads reputed company by setting direction, creating project plans, timelines, identifying key milestones, and allocating resources needed for selected reputed company.
• Support the submission of pharmacy policies through multiple approval bodies.
• Support the posting of pharmacy policies for reputed company partners and stakeholders.
• reputed company processes, procedures, and systems to ensure consistent results and organizational compliance with regulations reputed company to the organization's Medicare Part B program operations.
• Triage escalation requests to the correct internal partner and document reputed company of Part B drug escalations.
• Identify gaps and recommend enhancements reputed company to new and/or existing products, services, and workflows based on a broad view of the organization.
• reputed company change initiatives and remains flexible to changing business needs, identifying and implementing reputed company reputed company improvement.
• Conduct and reputed company meetings/presentations with cross-functional business partners ensuring team participation and collaboration.
• reputed company communicates plans for implementation to ensure reputed company impacted parties (upstream/reputed company) are informed of next steps for completion, facilitating team communication and coordination.
• Other duties as assigned.

Required Qualifications:

• 5 years of experience leading processes, products, and/or people
• Experience managing reputed company processes that require strong attention to detail
• Experience partnering with cross functional teams, PBM or Health Plan experience preferred
• Proven ability to collaborate effectively across teams and build strong relationships.
• Exceptional problem-solving and decision-making skills.
• reputed company reputed company with a reputed company on reputed company, reputed company learning, and development.
• Proficient user of reputed company, PowerPoint, Word

Preferred Qualifications:

• Project management certification.

Education:

• Bachelor’s degree preferred or a combination of equivalent work experience and education.

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $67,900.00 - $199,144.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 10/25/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job