Sr. Manager, Pharmacy Benefits

Job description

The Sr. Manager, Pharmacy Benefits is responsible for the overall leadership & management of all pharmacy benefit plans. The Sr. Manager is responsible for oversight of the benefit, partnership with the PBM, providing guidance on regulatory changes, reviewing and leading responses for policy changes, and maintaining compliance with all Federal and State agencies. In addition, the Sr. Manager will maintain an aptitude for the Medicare Part D and the Medicare health plan business, considers Healthfirst’s position within the industry and assists in the development of a strategic direction of the organization as it relates to pharmacy benefits. The Sr. Manager will also maintain a well-functioning team that develops and maintains flawless Medicare pharmacy benefits for Healthfirst Medicare members. Duties & Responsibilities: - Works collaboratively to design and manage the Healthfirst Pharmacy Benefit for all plans - Strategically leads the development, planning and implementation of the annual pharmacy benefit cycle to ensure that pharmacy benefits are in-line with Healthfirst Product Strategy, PBM capabilities and regulatory timeframes - Reviews and facilitates the response and/or th...