Manager - Project Management, Pharmacy Compliance
- 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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