Manager Project Management – Pharmacy Compliance
| Company | CVS Health |
|---|---|
| Location | New Mexico, USA, Washington, USA, Kansas, USA, Pennsylvania, USA, North Dakota, USA, Oregon, USA, Delaware, USA, Iowa, USA, California, USA, Washington, DC, USA, Vermont, USA, Wyoming, USA, Texas, USA, Montana, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, Nevada, USA, South Carolina, USA, South Dakota, USA, Georgia, USA, Arizona, USA, Concord, NH, USA, Mississippi, USA, Tennessee, USA, Virginia, USA, Arkansas, USA, Minnesota, USA, Colorado, USA, Nebraska, USA, Rhode Island, USA, Utah, USA, Kentucky, USA, West Virginia, USA, New York, NY, USA, Maryland, USA, Wisconsin, USA, Maine, USA, Massachusetts, USA, North Carolina, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Indiana, USA, Louisiana, USA, Michigan, USA, Illinois, USA, Alabama, USA, Idaho, USA |
| Salary | $54300 – $159120 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Senior |
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.
Responsibilities
- 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 to make them aware of impacts to their business areas and to solicit their ideas and support for developing a solution to become compliant before the effective date of new mandates.
- 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, present information and complex data in a clear and concise manner.
- 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.
- Join forces with team members to analyze and review incoming legislation.
Preferred Qualifications
- General understanding of the legislative review process.
- Capable of building the trust and respect of internal and external constituents.