Program Manager

Summit Access Solutions,LLCCoraopolis, PA
Hybrid

About The Position

The Specialty Pharmacy Program Manager plays a pivotal role in managing the partnership between our organization and pharmaceutical manufacturers. They will serve as point of contact for client requests and communication. The Program Manager will also provide close coordination with assigned program team members to ensure efficient and correct processing of referrals. The role will require collaboration with internal teams to enhance program efficiencies, including review of program metrics and evaluation and proactively presenting opportunities for improvement to client. They are responsible for ensuring contract compliance, conducting quarterly business reviews, and overseeing a dedicated team to optimize operational efficiency and client satisfaction. The Program Manager will report to the Vice President of Business Development and Strategy.

Requirements

  • Bachelor's degree in Pharmacy, Business Administration, Healthcare Management, or a related field.
  • Minimum of 5 years of experience in pharmacy operations, pharmaceutical industry, or healthcare management
  • Strong understanding of specialty pharmacy operations, including distribution, reimbursement, and regulatory requirements
  • Proven track record of managing partnerships and driving successful outcomes
  • Excellent communication skills, with the ability to effectively interact with internal and external stakeholders at all levels
  • Exceptional analytical and problem-solving abilities
  • Demonstrated leadership experience, including team management and development
  • Prior experience successfully managing direct reports

Nice To Haves

  • MBA, MHA or advanced degree healthcare management preferred
  • Certification in Pharmacy Benefit Management (PBM) or related field
  • Experience in project management or process improvement methodologies (e.g., Six Sigma, Lean)
  • Knowledge of healthcare compliance regulations and guidelines
  • Familiarity with pharmaceutical contracting and pricing strategies
  • Previous experience in specialty pharmacy program management or related role
  • Experience documenting requirements, creating training materials and working directly with end users
  • Excellent verbal and written communication skills
  • Self-starter with track record of demonstrating sound independent judgment

Responsibilities

  • Act as the primary liaison between the organization and pharmaceutical manufacturers
  • Ensure adherence to contractual agreements and service level agreements
  • Develop and maintain strong relationships with key stakeholders at pharmaceutical companies
  • Collaborate with cross-functional teams to address any partnership-related issues or concerns
  • Proactively identify adjustments to workflows, processes and present to client for consideration
  • Conduct scheduled collaborative meetings with client to communicate status of program initiatives, referral status, etc. including QBR’s
  • Respond to inquiries from the client as questions arise including but not limited to program design, marketplace conditions, program business rules, trends, additional trainings needed, etc.
  • Monitor and track contract performance metrics to ensure compliance
  • Identify areas of improvement and implement corrective actions as necessary
  • Analyze contract terms and conditions to mitigate risks and maximize benefits for both parties
  • Oversight of contractual obligations and reporting for pharmaceutical manufacturers
  • Coordinate and conduct quarterly business reviews with pharmaceutical manufacturers
  • Prepare comprehensive reports and presentations outlining key performance indicators, trends, and insights
  • Identify opportunities for growth and enhancement of the partnership
  • Collaborate with leadership to identify opportunities to improve program efficiency and patient care solutions
  • Hire, train, and onboard staff necessary to support program operations
  • Ensure the program team is operating effectively by providing daily oversight and guidance to associates
  • Lead and manage a team responsible for day-to-day operations related to specialty pharmacy programs
  • Provide guidance, support, and mentorship to team members to ensure high performance and professional development
  • Create and maintain program training materials, standard operation procedures, and quick reference guides for operational use
  • Foster a collaborative and inclusive work environment that promotes teamwork and innovation
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