Manager, Pharmacy Benefits
About The Position
Sentara Health Plan is currently seeking an experienced Manager, Pharmacy Benefits-Remote to join their team! The ideal candidate will be able to motivate a remote team, have strong analytical skills, embrace/lead the charge for change and have a strong background in retail pharmacy. The Manager of Pharmacy Benefits is responsible for monitoring the implementation and testing of the pharmacy benefit designs, pharmacy networks, formularies and pricing suites. In addition, the position is responsible for providing consultation on standard benefits designs and assisting with various projects that involve pharmacy products or process improvements. The Manager possesses a high degree of pharmacy benefit operations knowledge as it relates to customer operations in claims, system administration, expansion business and member enrollment. The Manager of Pharmacy Benefits will be accountable for leading pharmacy benefit configuration for all products. Acts as a liaison between internal pharmacy teams and the PBM. The Manager will work closely with Pharmacy Compliance and Benefits Specialists to keep them motivated and devise continuous ways to meet the departmental goals.
Requirements
- Bachelor's level degree required
- 3 years Managed Care required
Nice To Haves
- Prior leadership preferred
- Strong analytical skills
- Strong background in retail pharmacy
Responsibilities
- Monitoring the implementation and testing of the pharmacy benefit designs, pharmacy networks, formularies and pricing suites.
- Providing consultation on standard benefits designs.
- Assisting with various projects that involve pharmacy products or process improvements.
- Leading pharmacy benefit configuration for all products.
- Acting as a liaison between internal pharmacy teams and the PBM.
- Working closely with Pharmacy Compliance and Benefits Specialists to keep them motivated and devise continuous ways to meet the departmental goals.
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Annual discretionary bonus if established system and employee eligibility criteria is met.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
