Oscar HealthRemote
Project Manager- Pharmacy Associate
United States of America
Full Time
1 week ago
$87,000 - $114,000 USD
H1B Sponsor Likely
Key skills
Pharmacy Benefit Management (PBM)Healthcare data reviewChange managementHealth insurance regulation complianceTechnical team collaborationSystems integrationProduct managementMedical payer claims adjudication systemsPharmacy claim testingQuality Assurance (QA)Ticketing systems JiraTicketing systems AppianProject Management systems (Monday.com)JiraProject ManagementChange ManagementProduct Management
About this role
Oscar Health is a health insurance company focused on serving its members through a technology platform. The Project Manager- Pharmacy Associate will support program implementations and operational improvements, ensuring efficiency and effectiveness while managing relationships with stakeholders.
Responsibilities:
- Organize and support daily activities based on the goals of the program
- Identify optimization opportunities to support program objectives
- Support implementations end to end to ensure success
- Lead certain components of the program
- Partner with other departments and various stakeholders to ensure operational excellence
- Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
- Support the tracking and monitoring of controls
- Develop tools and standards to support team programs year over year based on program retros
- Develop meeting materials, track and follow-up on action items, assist with management of all project plans
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Bachelor's degree or 4 years commensurate experience
- 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data
- 3+ years leading cross-functional teams/projects and change management
- 1+ years working with health insurance regulation/compliance
- 1+ years working with technical teams, integrations or product management
- Experience with medical payer and PBM claims adjudication systems, such as RxClaim
- Experience with pharmacy claim testing and Quality Assurance (QA)
- Experience with a ticketing system (such as Jira or Appian)
- Experience with Project Management systems (such as Monday.com)
- Experience with payers offering ACA/health exchange insurance