Manager - Project Management, Pharmacy Compliance
Description:
• Review and assess new state and Federal legislative requirements to determine applicability to the Aetna Pharmacy Health Plan
• Research impacts of new legislation to our existing systems, processes, policies and technology platforms
• Summarize and present new legislation and its applicability to the Aetna Pharmacy Health Plan to internal and external colleagues
• Collaborate closely with internal Health Plan and PBM business teams in a fast-paced environment
• Request reports and analyze data to understand the business impact of new legislation to fully insured Aetna commercial members and plan sponsors
• Participate in or lead work group discussions to understand and document the interdependencies of business areas to become compliant
• Develop project plans, document dependencies, engage resources and track project deliverables to completion
• Manage multiple compliance projects from end-to-end at the same time
• Adhere to team reporting metrics for mandate tracking
• Take ownership and accountability and demonstrate leadership in pursuit of compliance
Requirements:
• A minimum of 5 years of experience in pharmacy benefit management
• pharmacy operations or managed healthcare
• A minimum of 3 years project management experience
• Strong organizational skills
• problem solving skills and critical thinking capabilities
• Able to communicate to multiple levels of leadership
• Functions independently to meet deadlines while managing multiple competing priorities
• Proficient in MS Office Suite, including MS Excel, MS Outlook, MS PowerPoint, MS SharePoint and MS Teams
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings
• tobacco cessation and weight management programs
• confidential counseling
• financial coaching
• Benefit solutions including paid time off
• flexible work schedules
• family leave
• dependent care resources
• colleague assistance programs
• tuition assistance
• retiree medical access
• many other benefits depending on eligibility
Apply Now
• Review and assess new state and Federal legislative requirements to determine applicability to the Aetna Pharmacy Health Plan
• Research impacts of new legislation to our existing systems, processes, policies and technology platforms
• Summarize and present new legislation and its applicability to the Aetna Pharmacy Health Plan to internal and external colleagues
• Collaborate closely with internal Health Plan and PBM business teams in a fast-paced environment
• Request reports and analyze data to understand the business impact of new legislation to fully insured Aetna commercial members and plan sponsors
• Participate in or lead work group discussions to understand and document the interdependencies of business areas to become compliant
• Develop project plans, document dependencies, engage resources and track project deliverables to completion
• Manage multiple compliance projects from end-to-end at the same time
• Adhere to team reporting metrics for mandate tracking
• Take ownership and accountability and demonstrate leadership in pursuit of compliance
Requirements:
• A minimum of 5 years of experience in pharmacy benefit management
• pharmacy operations or managed healthcare
• A minimum of 3 years project management experience
• Strong organizational skills
• problem solving skills and critical thinking capabilities
• Able to communicate to multiple levels of leadership
• Functions independently to meet deadlines while managing multiple competing priorities
• Proficient in MS Office Suite, including MS Excel, MS Outlook, MS PowerPoint, MS SharePoint and MS Teams
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings
• tobacco cessation and weight management programs
• confidential counseling
• financial coaching
• Benefit solutions including paid time off
• flexible work schedules
• family leave
• dependent care resources
• colleague assistance programs
• tuition assistance
• retiree medical access
• many other benefits depending on eligibility
Apply Now