At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position serves as operational lead for a portfolio of pharmacy products, product implementations and product enhancements; bringing seniority and experience to the oversight of multiple implementations of varying complexity and strategic importance; understanding product scope, group impacts, identifying and mitigating risks and issues as they arise, maximizing business impact and value creation by challenging current state; proposing realistic, differentiated solutions and engage in development of member, account, and employer centric solutions; driving consistency across implementations; collaborating across the enterprise; building meaningful relationships with stakeholders across the enterprise to achieve department, team, and product goals; ensuring integration between partner teams; serving as an operational business liaison; managing vendor relationship; providing leadership, oversight and direction to junior professionals. Management and oversight of reports relating to divisional/enterprise operations.

Job Requirements:

• Bachelor degree.
• 6 years experience with health/managed care products and programs.
• Knowledge of pharmacy/health/managed care programs, as well as policy and procedure development.
• Project management experience from design to implementation; project/process integration skills, drive activities to ensure value is added and/or requirements and milestones are met.
• Knowledge of the health insurance industry, including regulatory and accreditation agency requirements (such as URAC)
• Knowledge of quality improvement and process improvement concepts.
• PC proficiency to include Word, Excel and PowerPoint.
• Experience developing and facilitating presentations and reports to all levels including executives.
• Clear and concise verbal and written communication skills including experience with developing relationships and interacting successfully with senior management and staff across multiple departments.  
• Analytical skills to develop, monitor and review data, metrics, and financial indicators and results.  Analytical skills to develop business plans and strategies.
• Experience developing complex business and clinical solutions and working with executive management on developing solutions.

PREFERRED JOB QUALIFICATIONS:

• Master’s Degree in an area of study that focuses on critical thinking / problem solving activities / business or Health Care field.
• Experience with Operations and project/programs management.
• Advanced certification in relevant area which contributes to current job function.
• Experience leading or mentoring staff. Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment.
• Experience in project management, business analysis, process improvement, strategic planning, product administration.
• Consulting or client/product implementation experience in large organization.   
• Financial, estimating, and budget management experience as it relates to projects, implementations, and/or operations.  
• Conflict management and problem resolution skills.  
• Identify or isolate the root causes of issues or problems.
• Knowledge of health care insurance industry and current trends related to new products/networks, as well as new legislation and interaction with government affairs.  

Must report to the office 3 days per week.

Relocation is not provided at this time.

Sponsorship is not provided at this time.

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings