In this role, you will oversee and manage the non-clinical, day-to-day operations of the Pharmacy Benefit Manager (PBM) business. You will ensure efficient and accurate business systems are implemented and operating at optimal effectiveness to deliver exceptional operational service to clients and internal stakeholders. You will oversee the PBM vendor’s implementation teams to setup client’s benefit plan, formulary, eligible members, etc. in the appropriate systems and ensuring accurate PBM administration through testing.
Transition implementations/changes to Account Management team.
Interact with internal and external partners to coordinate and create project deliverables, resources and timeline for project plan/ project delivery. .
Lead the continuous process improvement function for the business to include development and maintenance of standard operating procedures (SOP), implementation of processes and automation to enhance PBM operations and improvements to processes or technology used by the team.
Provide ongoing monitoring to ensure compliance to SOPs/regulations and opportunities for continuous improvement.
Coordinate meetings, follow up on deliverables and assigned action items.
Facilitate and track current state and aligning with original scope and ensure future state solutions meets client requirements.
Relevant degree preferred.
5 or more years PBM operations experience required.
Project management experience required.
Demonstrated analytical, problem-solving and process development skills.
Ability to create/manipulate Gantt charts, project planning tools/diagrams needed.
Demonstrated ability to lead Lean management concepts, tools, and training
Ability to work independently and collaboratively across teams/departments, and to use judgment in decision making.
Willingness to travel.
Internal Number: 15122
About Vizient Inc.
We are the largest member-driven, health care performance improvement company in the country. Backed by network-powered insights in the critical areas of clinical, operational and supply chain performance, Vizient® empowers members to deliver exceptional, cost-effective care at every turn. Together with our members, we are fueling new business models and new approaches to care—all through the power of brilliant connectivity.