Senior Manager, Project Manager, Aetna Medicare Medical Pharmacy

Remote, USA Full-time
About the position Responsibilities • Lead the day-to-day operations of key business projects and programs around utilization management (UM), clinical programs, and pharmacy operations. • Proactively leads projects by setting direction, creating project plans, timelines, identifying key milestones, and allocating resources needed for selected projects. • Support the submission of pharmacy policies through multiple approval bodies. • Support the posting of pharmacy policies for internal and external partners and stakeholders. • Develop processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part B program operations. • Triage escalation requests to the correct internal partner and document resolution of Part B drug escalations. • Identify gaps and recommend enhancements related to new and/or existing products, services, and workflows based on a broad view of the organization. • Lead change initiatives and remains flexible to changing business needs, identifying and implementing continuous quality improvement. • Conduct and lead meetings/presentations with cross-functional business partners ensuring team participation and collaboration. • Clearly communicates plans for implementation to ensure all impacted parties (upstream/downstream) are informed of next steps for completion, facilitating team communication and coordination. • Other duties as assigned. Requirements • 5 years of experience leading processes, products, and/or people • Experience managing complex processes that require strong attention to detail • Experience partnering with cross functional teams, PBM or Health Plan experience preferred • Proven ability to collaborate effectively across teams and build strong relationships. • Exceptional problem-solving and decision-making skills. • Growth mindset with a focus on agility, continuous learning, and development. • Proficient user of Excel, PowerPoint, Word Nice-to-haves • Project management certification. 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 and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Apply tot his job
Apply Now

Similar Jobs

Full Stack Engineer Developer Portal

Remote, USA Full-time

Data Scientist GeoAI

Remote, USA Full-time

C# .Net developer

Remote, USA Full-time

Customer Support

Remote, USA Full-time

Senior Software Engineer Billing Platform

Remote, USA Full-time

Senior Software Engineer Client Engagement

Remote, USA Full-time

Enterprise Account Executive

Remote, USA Full-time

Full Stack Engineer

Remote, USA Full-time

Incident Response Engineer

Remote, USA Full-time

Data Engineer Revenue Platform

Remote, USA Full-time

**Experienced Online Community Manager and Customer Support Specialist – US Based**

Remote, USA Full-time

Experienced Remote Night Shift Customer Service Representative – Delivering Exceptional Support and Satisfaction to Valued Clients

Remote, USA Full-time

Flexible Part-Time Work from Home Opportunities – USA Remote Jobs

Remote, USA Full-time

Experienced Customer Service and Sales Representative – Remote Work Opportunity in a Dynamic and Supportive Environment

Remote, USA Full-time

Experienced Senior Data Analyst for Remote Data Entry and Business Analysis at arenaflex – Driving Business Growth through Data-Driven Insights

Remote, USA Full-time

Progress OpenEdge Systems Engineer::::::100% Remote

Remote, USA Full-time

Associate General Counsel

Remote, USA Full-time

Experienced Online Customer Service Representative – Delivering Exceptional Digital Support for Innovative Technology Products at blithequark

Remote, USA Full-time

Experienced Remote Data Entry Specialist – Work from Home Opportunities with arenaflex (1400+ Positions Available)

Remote, USA Full-time

Warehouse Associate - Full-time – Amazon Store

Remote, USA Full-time
Back to Home