Project Manager 2 - Pharmacy Benefits Management

Company Overview:

Radost Solutions is a growing consulting firm based in Portland, Oregon specializing in delivering innovative solutions to challenging business problems. We are seeking a dedicated and detail-oriented Project Manager 2 to collaborate on a contract with one of our significant clients. This fully remote position will start as a six month contract-to-hire role.

Please check out our website at www.radostsolutions.com for more details about us.

Position Summary:

Radost Solutions is seeking a Project Manager 2 with a strong background in prescription drug management to join our team on a contract with a major healthcare client. This role focuses on developing and implementing drug strategies for Medicare and Medicaid programs. The ideal candidate will have extensive experience in medical drug management and a deep understanding of pharmacy benefits in government-sponsored health plans.

Key Functions/Responsibilities:

• Manage projects related to prescription drug benefit design, formulary management, and drug utilization strategies for Medicare and Medicaid programs.

• Develop and implement drug strategies that optimize patient care while managing costs effectively.

• Collaborate with cross-functional teams including clinical pharmacists, data analysts, and policy experts to drive pharmacy benefit initiatives.

• Analyze drug utilization data and market trends to inform strategic decisions on formulary placement and benefit design.

• Ensure compliance with CMS regulations and state Medicaid requirements related to prescription drug coverage.

• Lead workgroups and facilitate meetings with stakeholders to advance pharmacy benefit management initiatives.

• Develop project plans, timelines, and resource allocations for drug management projects.

• Identify and mitigate risks related to drug benefit changes and implementation.

• Prepare and present regular updates on project status, performance metrics, and strategic recommendations to senior leadership.

Experience:

• 3-5 years of project management experience in healthcare, with a focus on pharmacy benefits management.

• Demonstrated experience working with Medicare Part D and Medicaid prescription drug programs.

• Strong knowledge of pharmaceutical industry trends, PBM operations, and drug pricing dynamics.

Preferred/Desirable:

• PMP certification or equivalent experience.

• Experience with pharmacy benefits management software and data analytics tools.

• Background in pharmacy, nursing, or related healthcare field.

Competencies, Skills, and Attributes:

• Excellent interpersonal and communication skills (both verbal and written) required to effectively maintain strong working relationships with internal and external colleagues.

• Excellent at facilitation and relationship management skills.

• Actively engages stakeholders and team members to encourage collaboration, and uses stakeholder analysis & management tools to enable open dialogue.

• Understands the relationship of their project to the business unit's portfolio and strategy.

• Earn the trust of business / project owners.

• Demonstrated ability to be flexible and adapt to changing priorities.

• Effectively works across and among 4 or more business units and functional teams to drive results.

• Able to analyze situations quickly and assess impact to prioritization.

• Able to summarize complex issues and processes simply and effectively, and to communicate across the project team clearly using engaging language.

• Advanced understanding and application of complex Change Management.

• Ability to translate data, results and information into engaging executive summaries and power point presentations.

• Demonstrated ability to assess complex problems and weigh potential actions for feasibility and value.

• Demonstrated organizational and time management skills. Detail-oriented and able to produce deliverables at a high level of quality & consistency.

• Possesses working knowledge of enterprise strategy and able to apply that understanding to influence or guide project stakeholders.

• Extensive knowledge of project management industry and trends.

• Able to lead / facilitate discussion of complex topics in a way that is inclusive and supportive of all participants.

• Able to manage and influence others.

• Strong focus on service to internal and external customers. Recognition of the enabling nature of project management.

• Serve as a trusted partner to the business / project owner. Work with the project team to find solutions to project problems or roadblocks.

• Identify areas of concern or constraint, and actively advocate within the PMO and the Business for needed project resources, decisions, etc.

Additional requirements:

• Deep understanding of Medicare and Medicaid drug coverage policies and regulations.

• Ability to interpret and apply complex pharmacy benefit rules and guidelines.

• Strong analytical skills with the ability to translate data insights into actionable strategies.

• Excellent communication skills, with the ability to explain complex pharmacy concepts to diverse audiences.

We are an equal opportunity employer and value diversity in our workforce. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Benefits:

• 401k

• 10 days PTO

• 10 paid Holidays

• Generous insurance stipend

This role is a W2 contract role and not open to either B2B C2C or staffing services.

This role is a W2 contract position focusing on prescription drug management strategies for Medicare and Medicaid programs. The successful candidate will play a crucial role in optimizing drug benefits while ensuring compliance with government regulations.

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