Project Manager - Remote

Genesis10 is currently seeking a Project Manager for a Remote position with a Leading Pharmacy Benefit Manager located in Plano, TX. This role will lead a multi-phase transition within a complex health plan environment, managing cross-functional coordination and ensuring alignment across teams and vendors to meet regulatory timelines.

Responsibilities:

• Lead and drive the overall project effort, driving cross-functional coordination, managing dependencies, and ensuring alignment
• Support delivery of defined workstreams within a larger program
• Maintain detailed project plans, tracking milestones, dependencies, and status updates
• Manage RAID logs and ensure timely escalation of risks and issues
• Coordinate across internal teams and vendors to support execution
• Prepare status reporting and support governance forums
• Track action items and ensure follow-through against agreed timelines

Requirements:

• Industry Experience: PBM, Health Plan / Payer, Managed Care, Healthcare IT
• Health Plan or PBM Operations experience including: Medicaid & Medicare Part D, Claims file, Data Exchange, Eligibility/Enrollment, Formulary / Benefits, Testing, and Vendor management
• Technical Skills: NCPDP Telecom D.0 and F6, plus Batch; NCPDP SCRIPT for e-prescribing; Claim Adjudication platforms (RxClaim, JUDI, Abarca)
• Experience with data analysis & mapping, requirements documentation, testing lifecycle, multi-system data flows and integration
• Excellent communication and stakeholder management skills, with the ability to influence and build strong working relationships
• Proven ability to deliver results on schedule and at required quality standards
• Strong problem-solving and sound decision-making capabilities
• Ability to influence, negotiate, and drive alignment across stakeholders
• Project Management Institute (PMI) PMP certification
• Experience with both Waterfall and Agile methodologies
• Experience with NCPDP transaction standards, industry standard file layouts, claims data reconciliation or financial data flows, and pharmacy benefit configuration