Pharmacy Program Associate
About The Position
Oscar is hiring a Pharmacy Program Associate to join their Pharmacy Program and Implementation team. Oscar is a health insurance company that utilizes a full stack technology platform and focuses on member service. The role involves supporting program implementation goals, post-implementation oversight, and monitoring for success. It also includes supporting operational improvements for core operations, ensuring proper controls and monitoring for efficiency and effectiveness, and implementing project management fundamentals across the organization. The associate will build relationships with internal and external stakeholders to ensure business alignment and support change management. The position is based in Atlanta, GA, requiring a hybrid work schedule with 3 days in-office per week, including a mandatory in-office day on Thursdays for team meetings and events.
Requirements
- Bachelor's degree or 4 years commensurate experience.
- 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data.
- 3+ years leading cross-functional teams/projects and change management.
- 1+ years working with health insurance regulation/compliance.
- 1+ years working with technical teams, integrations or product management.
Nice To Haves
- Experience with medical payer and PBM claims adjudication systems, such as RxClaim.
- Experience with pharmacy claim testing and Quality Assurance (QA).
- Experience with a ticketing system (such as Jira or Appian).
- Experience with Project Management systems (such as Monday.com).
- Experience with payers offering ACA/health exchange insurance.
Responsibilities
- Organize and support daily activities based on the goals of the program
- Identify optimization opportunities to support program objectives
- Support implementations end to end to ensure success
- Lead certain components of the program
- Partner with other departments and various stakeholders to ensure operational excellence
- Support a successful program end to end through assisting in project plan development, keeping stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
- Support the tracking and monitoring of controls
- Develop tools and standards to support team programs year over year based on program retros
- Develop meeting materials, track and follow-up on action items, assist with management of all project plans
- Compliance with all applicable laws and regulations
- Other duties as assigned
Benefits
- medical
- dental
- vision benefits
- 11 paid holidays
- paid sick time
- paid parental leave
- 401(k) plan participation
- life and disability insurance
- paid wellness time and reimbursements
- participation in Oscar's unlimited vacation program
- annual performance bonuses
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
