Pharmacy / Part D Administration Manager

Do you enjoy bringing clarity and structure to complex financial and operational work? Are you someone who feels confident managing details, data, and collaboration to support high-quality care? If so, you may be a great fit for our One Senior Care family of businesses. Job Summary: As the Pharmacy and Part D Administration Manager, you'll play a key role in supporting the financial and operational integrity of our PACE Part D and PBM programs. You'll work closely with Finance, Pharmacy, IT, Compliance, PBM partners, and project leadership to ensure accuracy, compliance, and strong financial performance. This role is ideal for someone who is analytical, detail-oriented, and comfortable working across teams to manage complex information. Your work will support sound decision-making and help ensure seniors receive reliable pharmacy benefits as part of their care. Schedule: First shift, full-time hours. Specific work hours will be established in consultation with your supervisor. Benefits: 9 Paid Holidays PTO starting at 3 weeks + 1 day per year (accrued from date of hire for full-time employees) Medical, Dental, & Vision Free Life and AD&D Insurance Plan Health Savings and Flexible Spending Accounts Short Term Disability Insurance Group Voluntary Term Life Insurance for Employee, Spouses, and Dependents Paid Parental Leave Tuition Reimbursement and Paid Training Opportunities Retirement Plan with company annual match Mileage Reimbursement at annual IRS rate as applicable Duties/Responsibilities: Support Medicare Part D bid development, pricing, and financial modeling in partnership with Finance, actuaries, and PBM vendors. Build and maintain forecasts for drug spend, rebates, low-income cost-sharing, reinsurance, and risk corridors. Analyze financial results and explain variances, trends, and risks to leadership. Oversee processes related to Prescription Drug Event data quality, timeliness, and completeness. Monitor TrOOP accumulation and low-income cost-sharing to ensure alignment with program rules. Lead Part D financial reconciliation activities, including reinsurance, low-income cost-sharing, and risk corridor settlements. Review and validate PBM pricing files, claims logic, and financial reports. Serve as a key point of contact for PBM finance and data questions, working closely with project leadership. Partner with Compliance on audits, controls, documentation, and corrective actions. Develop reports and dashboards that translate complex data into clear, usable insights. Support continuous improvement efforts to strengthen Part D and PBM workflows. Everyone's journey is unique. Even if you haven't done it all, your dedication to learning and helping others is what counts. With our training, mentorship, and career development programs, we'll help you grow and succeed. What Makes You a Great Fit: Strong analytical and financial modeling skills. Comfortable working with detailed data and complex benefit structures. Highly organized, with a strong sense of ownership and follow-through. Clear communicator who can explain technical information in an approachable way. Able to collaborate across departments and with external partners. Patient, thoughtful, and committed to accuracy and compliance. Education and Experience: Bachelor's degree in finance, accounting, health administration, actuarial science, or a related field required. Five or more years of experience in healthcare finance, managed care, pharmacy benefits, or Medicare Part D. Experience with Part D reconciliation, PBM operations, or drug cost analysis strongly preferred PACE or dual-eligible experience is a plus. Advanced Excel skills required; experience with reporting or analytics tools is helpful. Physical Requirements: Must be able to move intermittently throughout the workday. Sits, stands, bends, lifts, and moves intermittently during working hours. Is subject to frequent interruptions. Join Us! At One Senior Care, you'll be part of a compassionate team that makes a tangible difference in seniors' lives - working together to keep participants safe, healthy, connected, and at home. One Senior Care is an Equal Opportunity Employer. Employment is contingent upon successful completion of required background checks, health and safety screenings, and any clearances required for healthcare programs.

Created: 2026-03-04