Manager - Project Management, Pharmacy Compliance

Posted 2025-05-22
Remote, USA Full-time Immediate Start
    Description:
  • Review and assess new state and Federal legislative requirements to determine applicability to the Aetna Pharmacy Health Plan
  • Research impacts of new legislation to our existing systems, processes, policies and technology platforms
  • Summarize and present new legislation and its applicability to the Aetna Pharmacy Health Plan to internal and external colleagues
  • Collaborate closely with internal Health Plan and PBM business teams in a fast-paced environment
  • Request reports and analyze data to understand the business impact of new legislation to fully insured Aetna commercial members and plan sponsors
  • Participate in or lead work group discussions to understand and document the interdependencies of business areas to become compliant
  • Develop project plans, document dependencies, engage resources and track project deliverables to completion
  • Manage multiple compliance projects from end-to-end at the same time
  • Adhere to team reporting metrics for mandate tracking
  • Take ownership and accountability and demonstrate leadership in pursuit of compliance
    Requirements:
  • A minimum of 5 years of experience in pharmacy benefit management
  • pharmacy operations or managed healthcare
  • A minimum of 3 years project management experience
  • Strong organizational skills
  • problem solving skills and critical thinking capabilities
  • Able to communicate to multiple levels of leadership
  • Functions independently to meet deadlines while managing multiple competing priorities
  • Proficient in MS Office Suite, including MS Excel, MS Outlook, MS PowerPoint, MS SharePoint and MS Teams
    Benefits:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings
  • tobacco cessation and weight management programs
  • confidential counseling
  • financial coaching
  • Benefit solutions including paid time off
  • flexible work schedules
  • family leave
  • dependent care resources
  • colleague assistance programs
  • tuition assistance
  • retiree medical access
  • many other benefits depending on eligibility

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