Manager, PBM Consulting

Full Time
Washington, DC 20006
Posted
Job description

Optimity Advisors is a specialized management consulting and advisory firm that focuses on strategy, operations, and IT. Our company is comprised of professional advisors with deep domain expertise in strategy, operational transformation, business intelligence, technology, and regulatory compliance. We combine industry expertise and integrated solutions to help companies enhance stakeholder value, improve operations, and address performance and risk-related challenges


PURPOSE


We are currently seeking a Manager with experience in payer systems and pharmacy benefit management (PBM). This position is ideal for a consultant that has a passion for working with clients to understand their challenges, adapt to the unique situation of the client, and develop solutions. A Manager will lead teams, drive projects, and manage relationships through all phases of the project lifecycle.


RESPONSIBILITIES

Project Delivery and Management

  • Establish and execute a common set of project management processes and tolls for a project, including but not limited to project charters, workplans, issues, risks, and change requests
  • Prepare and manage project plans and address critical issues contributing to problems or delays on a project
  • Serve as day-to-day point of contact for client resources
  • Establish and monitor key project metrics for the project
  • Provide client and Optimity management with reports, metrics, and tools to illustrate the status of the project
  • Manage the internal and external project budget
  • Drive creation of deliverables relevant to each phase of the project lifecycle and as-how analyses as needed
  • Coach to clarify assignments and deliverables; mentor others in project management practices, review quality of work, and manage the integration of team members work

NECESSARY SKILLS

  • Excellent verbal and written communication skills, including strong active listening
  • Aptitude for quick learning and subject matter expertise development
  • Highly self-motivated, detail-oriented, and able to execute in high pressure environment
  • Sound problem solving and analytical skills
  • Strong MS Suite skills including Excel, Word, PowerPoint, and Visio

REQUIRED QUALIFICATIONS

  • Bachelor’s degree, from an accredited university or college, in Healthcare, Business, or another closely related field
  • 5+ years of experience in payer and pharmacy benefits management
  • Experience managing projects and cross-functional teams
  • Experience implementing PBM systems
  • Experience managing workstreams or projects within a larger program (e.g. Issue & Risk Management, Project Planning, Status Reporting)
  • Prior experience in management consulting style projects (e.g. Future State Assessment, Requirements Gathering, Strategic Roadmap Development, RFP and Vendor Selection)
  • Authorization to work in the United States on a permanent basis

PREFERRED QUALIFICATIONS

  • Experience in health plan operations
  • Experience in supporting proposal development
  • Experience with Medicaid and/or Medicare clients
  • Experience with PBM vendor to core systems integration
  • Experience with Managed Care Organizations
  • Demonstrated career progression with increased responsibilities and mentorship

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