Technical Program Manager - Pharmacy Care

Technical Program Manager - Pharmacy Care Chicago, Illinois, United States Job Description The Technical Program Manager, Pharmacy Care owns the delivery of our largest and most complex pharmacy platform programs. This is a hands‑on technical delivery role for someone who can hold a multi-party, multi-phase implementation together: integration dependencies across organizations, contractual milestones with defined acceptance criteria, regulated launch requirements, and a phased rollout that moves from a controlled pilot all the way through government-program populations. You will be the connective tissue between Product, Engineering, Design, Solutions, Data, Security, Compliance, Client Services, Service Delivery, and external partners. The work is equal parts technical fluency and program discipline. You need to be able to read an API specification, run the integration conversation on your own, and then convert what you heard into a plan, a dependency, or an escalation. If a date is going to move, you know first and you say so early. This program delivers a pharmacy-first digital member experience: medicine cabinet , claims and prior‑authorization visibility, real‑time price transparency, benefit and accumulator presentment, digital ID cards, document access, member notifications, an AI care assistant, and the partner integrations that power all of it. What you’ll do Own the program end to end Own delivery of a multi‑phase, enterprise‑scale platform implementation from mobilization and discovery through pilot, staged client rollout, and transition to ongoing operations. Structure the program into workstreams with clear owners, milestones, and exit criteria. Build and maintain the integrated program plan: scope, milestones, critical path, dependencies, acceptance criteria, and readiness gates across every workstream. Sequence phased rollout waves: internal pilot, shared pilot clients, standard commercial rollout, strategic accounts, and regulated and government‑program populations Drive milestone attainment where milestones carry contractual acceptance criteria and commercial consequence. Know exactly what must be true for each gate to close. Drive the technical integration Coordinate delivery across the full integration surface: eligibility, identity and authentication, claims history, accumulators, formulary and medication data, real‑time pricing, prior‑authorization status and intake, document retrieval, event and webhook interfaces, notifications, and federated SSO connections. Work with Engineering and Architecture on integration design, data mapping, identifier reconciliation across systems, environment strategy, and interface specifications covering authentication, schemas, idempotency, error handling, monitoring, and reconciliation. Hold the line on data quality and interface readiness, real‑time versus batch trade‑offs, validation rigor, and what happens when bad data moves downstream fast. Manage partner‑side technical dependencies rigorously: API documentation and sandbox access, file specifications and cadence, test data and credentials, environment provisioning, technical SMEs, and approvals. Track them, age them, and elevate with evidence before they become schedule impacts. Run governance and quality Establish and run program governance: meeting cadence, status reporting, RAID log, decision records, RASCI ownership across organizations, and executive‑level reporting that tells the truth concisely. Own scope discipline. Distinguish clarification from expansion, route genuine change through a documented change‑control process and protect the committed timeline. Partner with QA and Engineering to maintain a live quality and release‑readiness view: test coverage and execution, defect counts by severity and trend, automation and regression status, environment and test‑data blockers, and an honest Green/Yellow/Red call. Produce release readiness summaries ahead of each major milestone: included and deferred scope, test and UAT completion, open defects and mitigations, security, privacy, performance and accessibility results, residual risk, and a clear Go / Go‑with‑conditions / No‑Go recommendation. Run post‑production validation after each go‑live — smoke checks, incident and defect capture, corrective actions, and follow‑through. Carry the regulated‑delivery load Coordinate security and privacy readiness: penetration testing and vulnerability assessment evidence, HIPAA security and privacy review, remediation plans for critical and high findings, compensating controls, and formal sign‑off gates. Drive accessibility conformance, including testing evidence, remediation, and an exceptions process. Manage government‑program readiness: regulatory requirement schedules, program‑specific accumulator presentment, required member documents, regulatory data‑format transitions, and the phased commitments and approvals that go with them. Ensure AI‑enabled member functionality ships within approved governance: guardrails, escalation pathways, PHI handling, retention, auditability, and change‑approval requirements. Build the operating model Coordinate a distributed delivery team spanning product, design, engineering in the US and Europe, solutions, data and analytics, service delivery, and go‑to‑market. Stand up operational readiness ahead of scale: implementation playbooks, configuration and administrative tooling, documentation, train‑the‑trainer enablement, support and escalation model, and contact‑center integration. Define the reporting and analytics requirements the program is measured by: engagement and funnel data, feature utilization, communication delivery, and the extract or sync mechanics that deliver it. Define and track program health metrics: milestone attainment, dependency aging, defect burndown, integration readiness, launch readiness, and post‑launch stability. Transition the program cleanly into ongoing governance and continuous delivery rather than leaving an implementation that nobody owns. What we’re looking for Required Bachelor’s degree required; a technical discipline or an advanced degree is a plus. 7+ years in technical program or project management, including ownership of enterprise‑scale integration programs in healthcare or another regulated industry. Demonstrated experience leading multi‑party programs with external partners, delivered against defined milestones, dependencies, and acceptance criteria. Technical fluency. REST APIs, authentication and federated identity (SSO, SAML, OIDC), batch file interfaces, event and webhook architectures, data mapping, and schema validation. You can read a specification, run the technical conversation yourself, and hold both engineers and partners to what was agreed. Hands‑on experience with healthcare data domains: eligibility, claims, benefit accumulators, formulary and medication data, and prior authorization. Experience delivering in a regulated environment: HIPAA and PHI handling, security review, privacy requirements, and accessibility obligations. Proven ownership of quality and release readiness: test strategy, UAT coordination, defect triage, and the judgment to make a defensible go/no‑go call. Exceptional written communication. This role produces the artifacts other people make decisions from: plans, status, readiness summaries, escalations. They must be clear, accurate, and to the point. Rigorous on scope and change control, and comfortable saying no with a reason and a path. Comfortable in a fast‑moving, evolving organization; a ble to replan without losing the thread. Preferred Pharmacy or pharmacy benefits ecosystem experience: pharmacy claims, formulary, pricing and adjudication concepts, specialty and mail‑order fulfillment, or related integrations. Medicare or other government‑program delivery experience, including CMS requirements, program‑specific accumulator stages, required member communications, and regulatory format transitions. Experience with multi‑tenant platform delivery and client‑by‑client configuration at scale. Who we are Transcarent is the One Place for Health and Care, bringing medical, pharmacy, and point solutions together with the WayFinding experience, the first and only generative AI‑powered health and care platform for health consumers. Our WayFinding experience, paired with transparent and consumer‑driven pharmacy care, 2nd.MD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences — Cancer Care, Surgery Care, and Weight Health — to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher‑quality care, and lower costs for 21 million Members. Our values guide everything we do People First: We prioritize our Members, clients, and each other in every decision Care: Every decision starts with improving health and care for our Members Resilience: We push boundaries and take the uncharted path to change an industry Results: We take ownership, solve with speed, and deliver for our people and each other Humble and Human: We lead with humility, bring fun to tough moments, and go further together Total Rewards Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate's skills, experience, market demands, and internal equity. Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options. Our benefits and perks programs include, but are not limited to: Competitive medical, dental, and vision coverage Competitive 401(k) Plan with a generous company match Flexible Time Off/Paid Time Off, 13 paid holidays Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance Mental Health and Wellness benefits Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don't hesitate to reach out. Research shows that candidates from underrepresented backgrounds often don't apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren't looking for someone who checks each box on a page; we're looking for active learners and people who care about disrupting the current health and care with their unique experiences. #J-18808-Ljbffr Transcarent