Manager, Pharmacy Stars and Member Outreach

Role Overview

• Responsible for day-to-day coordination, leadership, and strategy of the Pharmacy Member Outreach arm of the Medicare Pharmacy team
• Oversee the PBM Care Team performance
• Prioritize daily, weekly, monthly focus of PBM Care Teams and Member Outreach team
• Clear oversight and formal assessment of PBM Care Team performance
• Manage personnel issues, including hiring, training, staff performance reviews, and facilitating staff development activities.

Requirements

• 5 years of experience working with Medicare Advantage Plans, or managed care industry
• 1 year of leadership experience, particularly in the health insurance or pharmacy benefit manager field
• Strong knowledge and experience working with CMS Stars Ratings measures including HEDIS, CAHPS, PQA/Pharmacy, HOS, Operations, and CMS Display measures
• Analytical skills which can translate into practical and pragmatic recommendations
• Bachelor's Degree in Public Health, Health-related Sciences, or Health Administration; Business Administration, Data Analytics, Data Science, Finance, Actuarial, Mathematics or Statistics or 4 years of relevant experience in lieu of degree.
• Preference will be given to candidate with relevant pharmacy related training, certification, or degree.

Benefits

• Medical, Dental & Vision coverage
• Retirement Plan
• Generous time off including Paid Time Off, Holidays, and Volunteer time off
• An Incentive Plan
• Tuition Reimbursement