Senior Director – PBM Implementation, Transformation

This is a fully remote position, open to applicants in United States.

📋 Description

• Take the lead in planning, executing, and successfully delivering all client implementation projects.

• Establish governance frameworks for implementations that include status reporting, risk management, issue resolution, decision tracking, and escalation processes.

• Ensure that implementation activities are timely, within scope, meet client requirements, and adhere to organizational standards.

• Provide leadership oversight and performance monitoring for implementation managers, project managers, business analysts, and implementation consultants.

• Monitor the health of the portfolio while addressing risks, resource constraints, and delivery challenges.

• Guarantee that deliverables satisfy quality standards and contractual obligations.

• Act as the primary operational leader for client implementations.

• Cultivate and maintain relationships with client stakeholders throughout the implementation lifecycle.

• Manage and communicate requirements, dependencies, assumptions, and decisions effectively.

• Lead steering committees, status reviews, and operational governance meetings.

• Advise clients on readiness for implementation, operational impacts, testing strategies, and deployment planning.

• Escalate significant risks, issues, and client concerns to executive leadership as necessary.

• Develop and enhance implementation methodologies, playbooks, tools, templates, and best practices.

• Standardize processes and establish performance metrics and dashboards.

• Drive initiatives for continuous improvement and process transformation.

• Oversee resource forecasting, staffing assignments, workload balancing, and capacity planning.

• Identify resource gaps and formulate mitigation plans.

• Coordinate both internal and external implementation resources.

• Collaborate with Sales, Consulting, Product, Operations, Clinical, and Technology teams.

• Assist in proposal development by providing timelines, staffing assumptions, operational requirements, and delivery considerations.

• Create dashboards, scorecards, milestone tracking tools, SLA reporting, and executive summaries.

• Monitor portfolio performance and offer analysis and recommendations.

• Track implementation KPIs such as quality, timelines, client satisfaction, resource utilization, and financial performance.

• Lead, mentor, and develop the implementation organization.

• Set performance expectations and accountability standards.

• Support recruitment, onboarding, professional development, performance reviews, coaching, and career development planning.

• Coordinate activities with PBMs, technology vendors, implementation partners, and third-party organizations.

• Monitor partner performance and manage external dependencies, issues, and escalations.

⛳️ Requirements

• A Bachelor's degree in business, Healthcare Administration, Information Technology, Project Management, or a related field is required.

• A Master's degree is preferred.

• Over 10 years of experience in implementation, operations, consulting, or project leadership roles.

• More than 5 years of leadership experience managing teams in implementation, project management, consulting, or operations.

• Proven success in leading large-scale client implementations in healthcare, pharmacy benefit management, managed care, consulting, or related sectors.

• Experience in managing complex cross-functional projects with multiple stakeholders involved.

• Strong background in operational process improvement, governance, and service delivery management.

• In-depth understanding of PBM implementation methodologies, project governance, and operational delivery models.

• Exceptional leadership and team development skills.

• Outstanding executive communication and client relationship management abilities.

• Experience in resource planning, capacity management, and workforce forecasting.

• Strong analytical and problem-solving capabilities.

• Ability to handle multiple priorities in a fast-paced environment.

• Experience in developing and enhancing operational processes and performance management frameworks.

• Knowledge of healthcare, pharmacy benefits, managed care, or consulting operations is preferred.

🏝️ Benefits

• Managed PTO for salaried/exempt employees with no accruals or caps.

• 22 PTO days available for hourly/non-exempt employees starting out.

• 12 company-observed paid holidays.

• 4 early-close days each year.

• Paid parental leave, pregnancy disability and bonding leave, as well as organ donor/bone marrow donor leave.

• $1,500 employee referral bonus for each hired referral.

• Employee recognition programs, awards, and trips.

• Employee Resource Groups.

• Mentorship Program.

• Tuition Reimbursement Program.

• Leadership Development opportunities.

• Pet Insurance options.

• Identity Theft & Fraud Protection Coverage.

• Legal Planning services.

• Family Planning assistance.

• Support for Menopause & Midlife issues.

• 401(k) matching contributions.

• Comprehensive medical insurance.

• Dental insurance coverage.

• Vision insurance plans.

• Wellness and employee assistance programs.

• A 50/50 Work Culture that fosters collaboration, teamwork, and an inclusive work environment.

• Charitable initiatives including Donation Connection, Employee Assistance Fund, and People First Foundation.