
Senior Managed Care Pharmacy Consultant
Posted Sep 8

Posted Sep 8
This is a fully remote position, open to applicants in United States.
• Actively seek out and promote business development opportunities with both new and existing clients.
• Recognize opportunities to propel business initiatives by removing obstacles and formulating innovative solutions.
• Oversee client relationships for key pharmaceutical consulting projects.
• Sustain relationships with client business process owners and significant stakeholders.
• Define project goals, objectives, critical success factors, and metrics for success.
• Create comprehensive project plans.
• Generate presentations and reports that convey project status and complex initiatives effectively.
• Deliver engaging, informative, and well-structured presentations.
• Manage the planning and execution of assigned projects.
• Mentor and cultivate the skills of supporting staff resources.
• Communicate challenging or sensitive information with tact.
• Oversee project operations and scope, including facilitating meetings and documentation.
• Conduct project reviews and ensure adherence to quality assurance protocols.
• Mitigate risk exposure and increase awareness of items at risk.
• 15+ years of experience in a managed care pharmacy environment, such as a PBM, health plan, or a similar organization.
• 10+ years of experience in developing and executing a range of pharmaceutical projects.
• A bachelor's degree is required.
• Familiarity with the US healthcare system concerning benefit design and reimbursement.
• Experience with Commercial, Medicare, and Medicaid channels.
• Proven ability to engage with senior leadership both internally and externally.
• Proficiency in effectively communicating and presenting in both virtual and in-person contexts.
• Strong facilitation and interpersonal skills.
• Capability to collaborate effectively with cross-functional teams.
• Highly skilled in Microsoft O365 applications, including Outlook, Teams, PowerPoint, Excel, and Word.
• Medical, Dental, and Vision coverage for employees, dependents, and domestic partners.
• Employee Assistance Program (EAP).
• 401(k) Plan with company matching and profit-sharing contributions.
• Discretionary Bonus Program.
• Flexible Spending Accounts (FSA) for dependent care, transportation, and eligible medical expenses.
• Paid Time Off (PTO): full-time employees earn 15 days per year.
• Minimum of 10 observed holidays per year.
• Family Building Benefits, including adoption and fertility assistance.
• Paid Parental Leave: 11 weeks for eligible employees.
• Life Insurance & AD&D with 100% of premiums covered by Milliman.
• Short-Term and Long-Term Disability fully covered by Milliman.
• Skills training and career development opportunities.
• Learning and mentoring resources available.
• Employee Resource Groups (ERGs).
• Opportunities to contribute to professional communities.
CVS Health
Centene Corporation
CVS Health
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