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Position Summary:

Responsible for successful execution and delivery associated with leading large scale Medicare Part D product benefit implementation inclusive of testing for thoroughness of final outcomes for accurate adjudication. Collaborates with internal stakeholders (i.e., Part D Product departments, Clinical, PBM, etc.) to ensure a smooth and efficient implementation process. Provides guidance and support to the team, resolves escalated issues, and effectively communicates with internal departments to ensure high level satisfaction during the implementation phase.

• Proactively manage assignments independently and cross functionally
• Provides direction for the implementation of complex Individual and Group Part D pharmacy benefits.
• Creates and manages project plans, timelines, and resource allocations to ensure efficient and effective plan.
• Conducts program implementation risk assessments and develops mitigation strategies to proactively manage project risks.
• Collaborates with multiple departments to gather requirements, design solutions, and manage dependencies and integration.
• Develops key strategies for process improvements to enhance the efficiency and effectiveness of implementation processes.

• Minimum 5+ years of PBM pharmacy experience and functions, and/or health plan experience coordinating pharmacy design builds and testing.
• Minimum 3-5 years of solid Medicare Part D guidance & knowledge
• Minimum 2 years Rx claims adjudication system testing for accuracy.
• Minimum 5 years' experience managing complex projects.
• 2 years drug benefit configuration in claim adjudication system(s)
• 2-3 years understanding and using automated/BOT technology in testing environment.
• Strong demonstrated problem-solving and analytical skills with attention to detail.
• Advanced Microsoft Office Suite experience
• Strong matrix management skills and demonstrated experience.
• Well-organized self-starter who embraces being a Part D subject-matter-expert
• Demonstrated strong written and oral communication style.

• Bachelor's degree preferred in an appropriate area of knowledge (e.g., healthcare, business, IT, etc.)/specialized training/relevant professional qualification.
• Prefer Master of Arts/Science degree in an appropriate area of knowledge (e.g., health care, business administration, IT, etc.)