Pharmacy Program Manager

Booz Allen Hamilton•Bethesda, MD

3d•$99,000 - $225,000•Remote

About The Position

Serves as a key leader overseeing an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts to achieve CMS goals and objectives related to Medicare Part B or Medicare Part D programs. This role encompasses directing policy analysis, validating advanced analyses, and supervising clinical reviews. Leveraging deep pharmacy knowledge and extensive leadership experience, the Program Manager plays a critical role in identifying and evaluating program enhancements and innovative solutions to improve the Medicare Program.

Requirements

15+ years of experience in pharmacy roles
7+ years of experience in pharmacy roles in Medicare Part B and D programs
Experience working with CMS data or health claims data, including Medicare and Medicaid, in the Independent Dispute Resolution (IDR) environment
Experience facilitating large meetings with both internal and external audiences, and managing integrated teams, including subcontractors, with full oversight of contract budgets and delivery risks
Experience with the federal procurement and proposal process
Experience identifying, reporting, and mitigating contract, budget, or delivery risks proactively
Experience collaborating with government payer programs, including Centers for Medicare & Medicaid Services (CMS)
Knowledge of Medicare Advantage encounter data and Prescription Drug Event (PDE) data
Ability to deliver technical recommendations to a wide range of stakeholders using a variety of delivery techniques
Bachelor’s degree in Pharmacy

Nice To Haves

Experience with pharmaceutical benefit management organizations.
Experience in presenting technical reports and findings to Senior Level leaders, and working with stakeholder especially relating to pharmacists, clinicians, suppliers, and regulatory bodies
Experience as a clinical pharmacist
Knowledge of healthcare technology systems related to pharmacy, such as electronic health records (EHR), pharmacy information systems, or medication administration software
Knowledge of analytic programming languages including R, Python, SAS, or SQL
Knowledge of pharmaceutical care processes and pharmacy regulatory environments
Ability to provide published research in peer-reviewed journals
Ability to analyze pharmacy data to drive evidence-based decisions and quality improvement initiatives
Doctorate degree in Economics, Statistics, Pharmacy or related field
Project Management Professional (PMP), Program Management Professional (PgMP), or Pharmacy Certification

Responsibilities

Overseeing an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts.
Achieving CMS goals and objectives related to Medicare Part B or Medicare Part D programs.
Directing policy analysis.
Validating advanced analyses.
Supervising clinical reviews.
Identifying and evaluating program enhancements and innovative solutions to improve the Medicare Program.