Sr. Manager, Program and Project Management (Pharmacy Benefits Management)

Blue Shield of California•Long Beach, CA

14d

About The Position

Your Role The Pharmacy Production Stabilization team provides management and end-to-end oversight of all Pharmacy production stabilization issues, driving issues from identification to resolution within a matrixed environment. The Senior Manager of the Pharmacy Production Stabilization team will report to the Director of Pharmacy Performance. In this role you will be responsible for the management and ownership of the end-to-end activities needed to bring all pharmacy production stabilization issues to full resolution, develop executive level communications and reporting to keep key stakeholders informed of status, and support annual readiness activities. Leading a team of professionals, you will drive processes and business efficiencies in support of our culture of affordability. This position will work closely with the Pharmacy Strategy and Operations team, cross-functionally with other teams within Blue Shield, as well as with our external vendor partners to ensure timely and accurate resolution of pharmacy production stabilization issues. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Responsibilities Your Work In this role, you will:

Requirements

Requires a bachelor’s degree or equivalent experience
Requires at least 10 years of prior relevant experience, including 4 years of management experience
Advanced knowledge of pharmacy operations at the health plan level
Experience driving strategic projects and partnering cross-functionally as well as with external vendor partners to achieve successful outcomes
Excellent verbal and written communication skills that exhibit a solution-oriented approach
Excellent analytical and problem-solving skills
Demonstrated leadership, project management, and program evaluation skills

Responsibilities

Partner with business drivers to execute on sub portfolio delivery including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies and issue/risk management to ensure successful completion of all projects and programs in support of the business strategies
Partner with managers to manage intake, Rough Order of Magnitude (ROM) estimation and demand/ capacity to ensure projects within the program meet cost, resource, environment, schedule, and other constraints within their domain
Provide oversight and direction of all the projects and releases within the sub portfolio (schedule, issues/risks, budget, resources, and PPM/PWA adherence)
Oversee and manage senior project managers, project managers and analysts in support of the delivery of the sub portfolio
Be accountable for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes, results, and deliverables
Provide direction, ownership, and oversight over the end-to-end Blue Shield production stabilization process, including Blue Shield and vendor specific incidents to assure that production stabilization issues that are partially or fully caused by contracted vendors and affiliated companies are resolved timely and accurately
Manage intake, assignment, direction, and resolution on pharmacy production stabilization issues and solutions that affect the Blue Shield book of business, including collaboration with stakeholders at all levels, identification of downstream impacts to ensure that issues are fully remediated without unintended negative consequences and identifying production stabilization issue trends, operational improvement opportunities, and providing expert recommendations to stakeholders and vendors
Assures that all production stabilization incidents have complete documentation from root cause analysis, impact reports, solution alternatives, decisions, communication plan, and implementation
Oversee and manage activities related to supporting the Pharmacy Annual Readiness and Command Center (RxARCC) team.
Oversee and manage activities related to maintaining the pharmacy business continuity plan including annual reviews and audits
Other duties as assigned