Pharmacy Benefit Management Operations Manager

Oregon Health & Science University • Beaverton, OR

13d

About The Position

Reporting to the Assistant Director of Specialty Pharmacy Services, this position is responsible for the day-to- day operational development and management of Pharmacy Benefit Management Services. Responsibilities include, but are not limited to, employee supervision; education and training of staff; program development; management of business and professional activities; quality assessment and process improvement; maintenance of practice standards, customer service and compliance with accreditation standards and applicable laws and regulations; coordination of pharmacy services with other departments, and teaching of pharmacy interns and residents.

Requirements

• PharmD or BPharm (with equivalent experience).
• Pharmacy Residency + 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience).
• Pharmacy benefit management including medication policy development, formulary development and benefit design
• Excellent communication, written and verbal
• Supervision of pharmacists and technicians and other staff
• Contemporary Pharmacy Practice
• Extensive knowledge of Medicare/Medicaid and Commercial Insurances

Nice To Haves

• MS, MBA,MPH,BCPS
• Managed care concepts and knowledge of benefit design and implementation and prior authorization workflows.
• Experience in clinical and/or business program development, Microsoft applications and project management
• Experience with PBM or health plan

Responsibilities

• Manage day-to-day operations (24/7) in a cost- effective manner, delegate responsibility and authority for providing services, problem-solve issues identified by staff and internal/external stakeholders, and coordinate services in assigned areas with interdisciplinary teams.
• Recruit, hire, train, develop, and supervise assigned staff, develop performance standards, and conduct performance reviews.
• Develop and/or redesign programs, strategies, facilities and systems for service improvement or expansion.
• Practice of Performance Excellence (OPEX) for daily management and continuous improvement.
• Manage, coordinate/delegate, and schedule appropriate assignment of staff to meet workload demands while assuring availability of adequate resources.
• Manage, develop, implement, and maintain necessary policies and procedures, process improvements, training, and monitoring activities to ensure operations are compliant with appropriate laws, regulations, and organizational policies.
• Responsible for technician, pharmacist, student and resident training.

Benefits

• Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee
• Two separate above market pension plans to choose from
• Vacation- up to 200 hours per year depending on length of service
• Sick Leave- up to 96 hours per year
• 8 paid holidays per year
• Substantial Tri-met and C-Tran discount

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees