Sr Pharmacy Program Manager

Who We Are

Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities.

Job Summary

The Sr Pharmacy Program Manager supports the development and implementation of a mid to long-range strategic plan consistent with the goals and operating priorities of the organization. Focus areas include but are not limited to: Total Cost of Care and Affordability of Care Corporate and division priorities. PBM (Pharmacy Benefit Manager) migration, Pharmacy integration, Product market strategies and medical cost trends. The Sr Pharmacy Program Manager is expected to independently develop approaches and work plans to address key issues and root cause drivers, many of which are at an extremely high level of importance to the management of medical cost trend and market growth. The end products are often intended for senior leadership and/or strategy teams. The Sr Pharmacy Program Manager supports the Pharmacy department in conducting industry research, benchmarking, and must be skilled at distilling large data sets and content to prepare summary reports and effective presentations. The Sr Pharmacy Program Manager also collaborates with select Point32Health Strategy and Product Teams, business stakeholders and vendors to develop and implement strategic projects. The Sr Pharmacy Program Manager functions as a senior project manager /advisor on strategic initiatives. The Sr Pharmacy Program Manager supports key steering committees and other strategy teams by preparing and presenting summaries of analyses, project status reports and presentations.

Job Description

Key Responsibilities/Duties – what you will be doing (top five):

• Program implementation: Serve as senior program manager on strategic projects in the pharmacy department as assigned.
  • Prepare opportunity assessments for submission to the Corporate Project Committee (CPC)
  • Develop business plans, project charters and work breakdown structures, specifying goals, strategy, governance, staffing, scheduling, identification of risks, contingency plans, and communication plans.
  • Identify and schedule project deliverables, milestones, and required tasks.
  • Manage the project execution and coordinate project closeout activities, including transition plans and lessons learned.
  • Make recommendations for infrastructure, operational metrics, and related reporting formats. Guide the design and implementation of key metrics and reporting to support business plans and initiatives.
• Strategic analysis: Analyze and evaluate industry and local marketplace dynamics in order to evaluate the current strategic position of Point32Health in respect to pharmacy and medical drug benefit. Identify strategic opportunities and recommend modifications or proposed strategies and tactics.
  • Coordinate the collection of industry intelligence.
  • Collaborate with external contacts and participate in senior level strategy teams on corporate strategic initiatives related to pharmacy and health programs.
  • Identify, research, and evaluate strategic opportunities and assimilate disparate industry information and observations into a set of potential opportunities for maintaining industry leadership position and best in class trend.
  • Prepare and present findings and recommendations to the applicable Point32Health committee or team.
  • Develop and prepare recommended refinements to strategy/objectives as needed, but minimally prior to the annual budget process.
• Management/stakeholder communications: Support Point32Health strategy teams by preparing and presenting summaries of analyses conducted, strategic project status reports and presentations to management team and key stakeholders.
• Other projects and duties as assigned.

Qualifications – what you need to perform the job

Certification and Licensure

• Certification and/or training in project management desirable

Education

• Required (minimum): BA, BS in health care or business
• Preferred: Master’s degree in health care or business administration strongly preferred.

Experience

• Required (minimum): Requires 7 to 10 years of experience in business or managed care environment, of which 3 to 5 years of d