Manager, Pharmacy Operations/Pharmacy Benefit Management (Remote)

JOB DESCRIPTION Job Summary Leads and manages team of pharmacy operations staff and Pharmacy Benefit Manager(PBM) activities. Responsible for oversight of delegated services, implementation of new products and services, and maintenance of business. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job Duties • Hires, trains, develops and manages team responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, and delivering products through the design process to completion. • Supports Medicaid and Marketplace lines of business. • Provides surveillance and oversight of delegated functions. • Analyzes and interprets data to identify erroneous execution of the pharmacy benefit by the Pharmacy Benefit Manager (PBM). • Reviews the daily inventory of “outliers” and remediates as required. • Reviews protoc...