Program Manager

Job Description

Job Description

Location: Pittsburgh, PA

Classification: Exempt

Status: Full-Time

Purpose:

The Specialty Pharmacy Program Manager plays a pivotal role in managing the partnership between our organization and pharmaceutical manufacturers. They will serve as point of contact for client requests and communication. The Program Manager will also provide close coordination with assigned program team members to ensure efficient and correct processing of referrals. The role will require collaboration with internal teams to enhance program efficiencies, including review of program metrics and evaluation and proactively presenting opportunities for improvement to client. They are responsible for ensuring contract compliance, conducting quarterly business reviews, and overseeing a dedicated team to optimize operational efficiency and client satisfaction. The Program Manager will report to the Vice President of Business Development and Strategy.

Responsibilities:

Partnership Management:

• Act as the primary liaison between the organization and pharmaceutical manufacturers
• Ensure adherence to contractual agreements and service level agreements
• Develop and maintain strong relationships with key stakeholders at pharmaceutical companies
• Collaborate with cross-functional teams to address any partnership-related issues or concerns
• Proactively identify adjustments to workflows, processes and present to client for consideration
• Conduct scheduled collaborative meetings with client to communicate status of program initiatives, referral status, etc. including QBR’s
• Respond to inquiries from the client as questions arise including but not limited to program design, marketplace conditions, program business rules, trends, additional trainings needed, etc.

Contract Compliance:

• Monitor and track contract performance metrics to ensure compliance
• Identify areas of improvement and implement corrective actions as necessary
• Analyze contract terms and conditions to mitigate risks and maximize benefits for both parties
• Oversight of contractual obligations and reporting for pharmaceutical manufacturers

Quarterly Business Reviews:

• Coordinate and conduct quarterly business reviews with pharmaceutical manufacturers
• Prepare comprehensive reports and presentations outlining key performance indicators, trends, and insights
• Identify opportunities for growth and enhancement of the partnership
• Collaborate with leadership to identify opportunities to improve program efficiency and patient care solutions

Team Oversight:

• Hire, train, and onboard staff necessary to support program operations
• Ensure the program team is operating effectively by providing daily oversight and guidance to associates
• Lead and manage a team responsible for day-to-day operations related to specialty pharmacy programs
• Provide guidance, support, and mentorship to team members to ensure high performance and professional development
• Create and maintain program training materials, standard operation procedures, and quick reference guides for operational use
• Foster a collaborative and inclusive work environment that promotes teamwork and innovation

Required Qualifications:

• Bachelor's degree in Pharmacy, Business Administration, Healthcare Management, or a related field. Advanced degree preferred
• Minimum of 5 years of experience in pharmacy operations, pharmaceutical industry, or healthcare management
• Strong understanding of specialty pharmacy operations, including distribution, reimbursement, and regulatory requirements
• Proven track record of managing partnerships and driving successful outcomes
• Excellent communication skills, with the ability to effectively interact with internal and external stakeholders at all levels
• Exceptional analytical and problem-solving abilities
• Demonstrated leadership experience, including team management and development
• Prior experience successfully managing direct reports
  

Preferred Qualifications:

• MBA, MHA or advanced degree healthcare management preferred
• Certification in Pharmacy Benefit Management (PBM) or related field
• Experience in project management or process improvement methodologies (e.g., Six Sigma, Lean)
• Knowledge of healthcare compliance regulations and guidelines
• Familiarity with pharmaceutical contracting and pricing strategies
• Previous experience in specialty pharmacy program management or related role
• Experience documenting requirements, creating training materials and working directly with end users
• Excellent verbal and written communication skills
• Self-starter with track record of demonstrating sound independent judgment

Work Environment:
This job operates in a professional office environment and teleworking from the employee’s home address listed in their employment file. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. When telecommuting employees must have reliable internet access in order to access required systems and software associated with the position's responsibilities. The amount of time the employee is expected to work per day or pay period will not change as a result of participation in the teleworking program. Employees are responsible for the set-up of their home office environment, including physical set-up, internet connection, phone line, electricity, good lighting, comfortable temperature, furniture, etc. Employee’s teleworking space should be separate and distinct from their “home space” and allow for privacy. Vanscoy Rare Pharmacy expects employees teleworking to be as efficient and professional as if they were in the office. The amount of time spent in office or teleworking is contingent upon the needs/priorities of Vanscoy Rare Pharmacy and will vary based on those needs/priorities.

Physical Demands:
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands and fingers, handle or feel; and reach with hands and arms.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function of the job.