What You'll Do

• Develops project plans and recommendations in support of Corporate Pharmacy objectives and leads implementation; tracks and reports on the status of efforts related to our PBM. Must ascertain, categorize, and manage projects in relation to corporate priorities.

• Negotiates resources to staff projects effectively with appropriate skill sets, aligning skills to the project's needs.

• Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.

• Coordinates development and implementation of policies and procedures as well as development of compliance measurements.

• Controls and monitors project effectiveness; updates project plans, as necessary.

• Ensures compliance with necessary audit requirements.

• Represents Blue Cross NC in meetings with external parties including consultants, vendors, and others and may include service delivery management of vendors.

• Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met.

• Develops escalation process to channel issues and concerns to appropriate parties.

• Evaluates program risks, developing contingency plans and responding to change in risk as initiatives progress.

• Develops effective business process improvement initiatives and communication plans.

• Performs analytic functions and coaches others in analytical production, technical and other areas.

• Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (i.e., Cost/Benefit Analysis, Flowcharting, etc.).

• Documents and presents program management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals.

• Develops and tracks budgets, operating plans, and financial cost forecasts to support the program's objectives.

• Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training.

What You'll Bring (Hiring Requirements)

• Bachelor's degree or advanced degree.

• 8+ years of experience in related field.

• In lieu of degree, 10+ years of experience in related field.

• Direct experience leading and implementing pharmacy programs.

• The ideal candidate will have extensive experience with PBMs.

Salary Range