Pharmacy Project Manager

Moda Health•Portland, OR

3d•Hybrid

About The Position

Moda Health is seeking a Pharmacy Project Manager for a full-time, hybrid position based in Portland. This role is central to coordinating cross-functional pharmacy operations initiatives, ensuring projects are organized, timelines are met, stakeholders are informed, and operational priorities advance efficiently. The Pharmacy Project Manager will lead and coordinate projects such as new client implementations, operational program launches, process improvements, regulatory initiatives, and strategic departmental priorities. This involves close collaboration with pharmacy leadership, operations, clinical teams, account management, IT, vendor partners, compliance, and other internal/external stakeholders to plan, execute, and implement projects effectively. The role is key in identifying operational gaps, developing project plans and workflows, improving accountability, managing milestones, risks, and dependencies, and driving successful implementation from planning through post-implementation support. This position ensures operational readiness, consistent execution, and continuous improvement within pharmacy operations.

Requirements

Bachelor's degree or equivalent combination of education and relevant experience in healthcare administration, business administration, pharmacy, project management, or a related field.
Five or more years of professional experience in pharmacy operations, pharmacy benefit management, health plan administration, or a closely related healthcare environment.
Demonstrated knowledge of pharmacy benefit administration, pharmacy operations, claims adjudication, and regulatory requirements across Commercial, Exchange, Medicare, and Medicaid lines of business.
Demonstrated experience leading or coordinating complex cross-functional projects, operational implementations, system enhancements, or process improvement initiatives.
Working knowledge of pharmacy operations, claims administration, benefit configuration, reimbursement methodologies, and pharmacy operational workflows.
Demonstrated ability to manage multiple concurrent projects, prioritize competing demands, and consistently deliver results within established timelines.
Demonstrated ability to work independently while building collaborative relationships across departments, business partners, vendors, and external stakeholders.
Strong written, verbal, presentation, and interpersonal communication skills, with the ability to communicate effectively with technical and non-technical audiences.
Demonstrated analytical and problem-solving skills with the ability to identify operational risks, evaluate alternatives, and recommend practical solutions.
Proficiency with Microsoft Office applications, including Excel, Word, PowerPoint, and Project or comparable project management software.

Nice To Haves

Experience supporting new client implementations, operational readiness activities, or enterprise project deployments within a healthcare environment.
Experience with pharmacy or healthcare operational systems.
Experience developing project plans, facilitating meetings, documenting decisions, tracking action items, and communicating project status to leadership and stakeholders.
Pharmacy technician license or certification, or prior experience working in a pharmacy or pharmacy operations environment.
Knowledge of regulatory and operational requirements across Commercial, Exchange, Medicare, and Medicaid lines of business.
Experience supporting health plan pharmacy operations, pharmacy benefit management, prior authorization operations, pharmacy claims administration, benefit configuration, or formulary management.
Formal project management training, Project Management Professional (PMP) certification, Certified Associate in Project Management (CAPM) certification, or equivalent project management experience.
Experience leading or coordinating new client implementations, vendor implementations, system enhancements, operational readiness activities, or enterprise project deployments.
Experience managing vendor relationships and coordinating cross-functional initiatives involving internal business teams, technology partners, and external vendors.

Responsibilities

Lead cross-functional pharmacy operations projects from initiation through implementation and post-implementation support.
Develop project plans, timelines, milestones, risk mitigation strategies, communication plans, and success metrics.
Coordinate implementation activities across Pharmacy Operations, Clinical Pharmacy, Account Management, Information Technology, Compliance, Customer Service, vendor partners, and other business stakeholders.
Monitor project progress, identify risks, dependencies, and barriers, and drive timely resolution.
Facilitate project governance meetings, implementation meetings, and stakeholder discussions.
Lead project management activities supporting new client implementations, pharmacy vendor transitions, pharmacy program launches, and strategic business initiatives.
Coordinate implementation readiness across impacted departments.
Partner with internal teams and external vendors to manage implementation plans, issue logs, decision tracking, and cutover activities.
Conduct post-implementation reviews and identify opportunities for process improvement.
Lead the coordination of pharmacy technology enhancement initiatives.
Coordinate vendor-led implementations, system enhancements, upgrades, and operational changes.
Partner with business and technical teams to define business requirements, coordinate user acceptance testing, and validate system functionality.
Monitor vendor deliverables, project timelines, and operational performance.
Escalate complex operational or system issues and coordinate cross-functional resolution efforts.
Manage multiple concurrent projects with competing priorities.
Develop project scopes, work plans, timelines, resource requirements, and success metrics.
Drive accountability by establishing ownership, monitoring deliverables, and ensuring commitments are completed on schedule.
Identify project risks, operational impacts, and implementation dependencies, recommending mitigation strategies.
Support strategic initiatives that improve pharmacy operations, regulatory readiness, operational performance, and service delivery.
Promote continuous improvement through project management best practices, process standardization, and effective stakeholder engagement.