Pharmacy Program Manager
Hybrid within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Program Managers are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Program Managers are responsible for partnering with clinical stakeholders to develop, execute, evaluate and maintain clinical programs and strategies to support cost containment and clinical quality improvements related to pharmacy. Performs project management, team leadership, system analysis, research & design for purposes of project completion. Guides and assists in pharmacy clinical program outreach, maintains policy/procedures, monitors and reports out on program outcomes, coordinates with other departments to achieve program goals, and assists in vendor management and oversight. Collaborates with Formulary and Prior Authorization teams, Quality and Medicare stars teams, Provider Partnership and Innovation team, and Case Management, among others - all in service of creating a person-focused hea
lth care experience.
What if your next career move put you at the intersection of clinical strategy, innovation, and real patient impact? Do you thrive when you're leading complex programs, influencing clinical strategy, and driving measurable outcomes? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
* Bachelor's degree
* 8+ years of experience in the health care industry with a focus on pharmacy and prescription drug benefit administration, or equivalent combination of education and experience
* Project management experience and clinical degree or certification preferred
Skills and Attributes:
* Deep knowledge of pharmacy benefit management, benefit design, pharmacy products and services, competitive offerings, and client needs, including advanced understanding of healthcare operations, cost containment strategies, provider contracting methodologies, and benefit design alternatives.
* Proficiency in claims processing systems (Facets preferred), MS Office products, and other corporate software.
* Strong analytical, research, and data interpretation skills with the ability to synthesize literature, clinical input, expert opinion, policy, and analytic insights to develop innovative solutions and drive strategy.
* Demonstrated program development skills including setting goals, identifying and engaging stakeholders, establishing milestones, and driving measurable outcomes.
* Expert ability to lead full project cycles from ideation through evaluation, managing company-wide programs and cross-functional teams across diverse areas of the organization.
* Exceptional facilitation, presentation, and communication skills with the ability to resolve issues and build consensus among diverse internal and external stakeholders, including leadership.
* Strong business acumen with the ability to align recommendations and solutions to organizational goals and expected outcomes.
* Ability to organize, prioritize, and manage multiple projects simultaneously within time constraints, including the ability to work effectively under pressure.
* Ability to coordinate activities across all levels of colleagues and external business partners through clear and concise verbal and written communication.
* Demonstrated success leading cross-functional teams and contributors toward shared goals in a complex, matrixed environment.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Wil
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