Pharmacy Program Manager

Booz Allen Hamilton•Bethesda, MD

1d•$99,000 - $225,000•Hybrid

About The Position

Booz Allen is seeking an experienced program manager with pharmacy experience in Medicare Part B or Part D programs. The role leads an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts in achieving CMS goals and objectives. The Program Manager directs policy analysis, validates advanced analyses, supervises clinical reviews, and uses pharmacy expertise and leadership experience to identify and evaluate program enhancements and innovative solutions for the Medicare Program. The position is listed as hybrid and is based in Bethesda, Maryland. Hybrid employees are expected to work from a Booz Allen or customer facility in alignment with leadership expectations and the needs of the role. The projected annualized compensation range is $99,000 to $225,000. Booz Allen describes its benefits as including health, life, and disability coverage; financial and retirement benefits; paid leave; professional development; tuition assistance; work-life programs; dependent care; and recognition awards. Eligibility varies by hours worked.

Requirements

15 or more years of experience in pharmacy roles.
7 or more 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 internal and external audiences and managing integrated teams, including subcontractors, with oversight of contract budgets and delivery risks.
Experience with the federal procurement and proposal process.
Experience identifying, reporting, and proactively mitigating contract, budget, or delivery risks.
Experience collaborating with government payer programs, including the 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 presenting technical reports and findings to senior-level leaders and working with stakeholders, especially pharmacists, clinicians, suppliers, and regulatory bodies.
Experience as a clinical pharmacist.
Knowledge of pharmacy-related healthcare technology systems, 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 a related field.
Project Management Professional (PMP), Program Management Professional (PgMP), or Pharmacy Certification.

Responsibilities

Oversee an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts to achieve CMS goals and objectives.
Direct policy analysis, validate advanced analyses, and supervise clinical reviews.
Identify and evaluate program enhancements and innovative solutions to improve the Medicare Program.
Facilitate large meetings with internal and external audiences.
Manage integrated teams, including subcontractors, with oversight of contract budgets and delivery risks.
Identify, report, and proactively mitigate contract, budget, or delivery risks.
Deliver technical recommendations to a wide range of stakeholders using a variety of techniques.
Analyze pharmacy data to support evidence-based decisions and quality improvement initiatives.