Sr. Project Manager

Blue Cross Blue Shield of Massachusetts•Hingham, MA

2d•Hybrid

About The Position

Ready to help us transform healthcare? Bring your true colors to blue. The Role The Senior Manager, Pharmacy Strategy & Business planning will play a critical role in driving strategic initiatives, business case development and cross-functional collaboration to advance key pharmacy business objectives. This role will work closely with internal stakeholders to develop and implement high-impact initiatives, measure success, and ensure alignment with overall business objectives. In addition to driving key projects, this role will also maintain an overall view of all of the pharmacy division’s projects and maintaining a 3-5 year pipeline of strategic initiatives. This leader will serve as a key advisor to the Director of Pharmacy Strategic Business Planning and Project Support and may assume additional projects as assigned.

Requirements

Demonstrated ability with strategy, qualitative and quantitative analysis
Demonstrated ability to handle multiple priorities in a fast-paced environment
Excellent communication skills, verbal, written, and presentation, including the ability to communicate appropriately across all levels of an organization including senior business leaders
Ability to synthesize complex data into actionable insights for senior leadership
Demonstrated ability to interface with clinical and non-clinical team members at all levels of the organization
Strong team and consensus-building skills with the ability to manage direct reports, cross-functional teams, and matrixed relationships and influence others outside chain of command
A track record in leading and delivering complex large-scale projects and partnerships, often managing a range of internal and external stakeholders
Demonstrated pattern of taking on ambiguous/new work requiring swift decision-making, autonomy, and sound judgment
Ability to foster a team environment committed to risk taking, change management, and creativity
Undergraduate Degree or master’s degree preferred with experience in Healthcare
5-7 years in health care business administrative / leadership experience with pharmacy background preferred
High school degree or equivalent required unless otherwise noted above

Responsibilities

Initiate and lead large scale pharmacy projects that support corporate priorities (e.g. new pharmacy vendor partnerships)
Develop comprehensive business cases, including financial modeling (in collaboration with Actuarial team), market analysis, and risk assessments, to support decision-making
Collaborate with internal partners including finance, ET, operations, product, marketing and clinical teams, etc to ensure seamless execution of strategic projects.
Establish key performance indicators (KPIs) and standardized framework to measure initiative success and drive continuous improvement
Ensure seamless hand-off to business areas post-implementation
Develop and implement strategies to improve pharmacy affordability, member experience and operational efficiencies
Maintain comprehensive documentation of existing and under assessment partnerships
Monitor industry trends, competitive landscape, and regulatory changes to identify opportunities and risks
Prepare executive and board-level presentations and recommendations on data-driven insights
Support long-term business planning by assessing market opportunities and aligning initiatives with organizational goals
Collaborate with HMM Division business leaders to ensure pharmacy priorities align with divisional goals
Maintain a pipeline of key strategic initiatives and partnerships to ensure we continue to grow our pharmacy business and maintain affordability
Manage project support pipeline and identify pharmacy division capacity and resource allocation
Form relationships with all key leaders in Pharmacy, HMM and across the enterprise to facilitate communication and collect or provide early intelligence as appropriate
Provide support to the HMM business planning team to include monitoring key pharmacy metrics and initiatives
Advise and make recommendations to business leaders on key strategic, technical, and tactical decisions.
Influence stakeholders to accomplish goals