Pharmacy Program Manager
$99,000–$225,000 year
On-siteBethesda, Maryland, United States
Job Summary
Direct policy analysis, validate advanced analyses, and supervise clinical reviews for Medicare Part B and D programs. Lead an integrated team of payment policy specialists, statisticians, and data analysts to achieve CMS goals while identifying and evaluating program enhancements. Manage contract budgets, delivery risks, and federal procurement processes for internal and external stakeholders. Collaborate with government payer programs and present technical recommendations to senior leaders. Requires 15+ years in pharmacy with 7+ years in Medicare, a Bachelor's degree in Pharmacy, and experience with CMS data in the Independent Dispute Resolution environment.
Required Qualifications
- 15+ years of experience in pharmacy roles
- 7+ years of experience in pharmacy roles in Medicare Part B and D programs
- Experience working with CMS data or health claims data, including Medicare and Medicaid, in the Independent Dispute Resolution (IDR) environment
- Experience facilitating large meetings with both internal and external audiences, and managing integrated teams, including subcontractors, with full oversight of contract budgets and delivery risks
- Experience with the federal procurement and proposal process
- Experience identifying, reporting, and mitigating contract, budget, or delivery risks proactively
- Experience collaborating with government payer programs, including Centers for Medicare & Medicaid Services (CMS)
- Knowledge of Medicare Advantage encounter data and Prescription Drug Event (PDE) data
- Ability to deliver technical recommendations to a wide range of stakeholders using a variety of delivery techniques
- Bachelor's degree in Pharmacy
Desired Qualifications
- Experience with pharmaceutical benefit management organizations
- Experience in presenting technical reports and findings to Senior Level leaders, and working with stakeholder especially relating to pharmacists, clinicians, suppliers, and regulatory bodies
- Experience as a clinical pharmacist
- Knowledge of healthcare technology systems related to pharmacy, such as electronic health records (EHR), pharmacy information systems, or medication administration software
- Knowledge of analytic programming languages including R, Python, SAS, or SQL
- Knowledge of pharmaceutical care processes and pharmacy regulatory environments
- Ability to provide published research in peer-reviewed journals
- Ability to analyze pharmacy data to drive evidence-based decisions and quality improvement initiatives
- Doctorate degree in Economics, Statistics, Pharmacy or related field
- Project Management Professional (PMP), Program Management Professional (PgMP), or Pharmacy Certification
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