Pharmacy Benefit Management Operations Manager

Reporting to the Assistant Director of Specialty Pharmacy Services, this position is responsible for the day-to-day operational development and management of Pharmacy Benefit Management Services. Responsibilitiesinclude, but are not limited to, employee supervision; education and training of staff; program development;management of business and professional activities; quality assessment and process improvement;maintenance of practice standards, customer service and compliance with accreditation standards andapplicable laws and regulations; coordination of pharmacy services with other departments, and teaching ofpharmacy interns and residents.Operations Management: Manage day-to-day operations (24/7) in a cost- effective manner, delegate responsibility and authority for providing services, problem-solve issues identified by staff and internal/external stakeholders, and coordinate services in assigned areas with interdisciplinary teams.Human Resource Management: Recruit, hire, train, develop, and superviseassigned staff, develop performance standards, and conduct performancereviews.Program Design & Development: Develop and/or redesign programs,strategies, facilities and systems for service improvement or expansion. Lean Management: Practice of Performance Excellence (OPEX) for dailymanagement and continuous improvement.Process/Service Monitoring: Manage, coordinate/delegate, and schedule appropriate assignment of staff to meet workload demands while assuring availability of adequate resources.Regulatory & Compliance: Manage, develop, implement, and maintainnecessary policies and procedures, process improvements, training, andmonitoring activities to ensure operations are compliant with appropriate laws,regulations, and organizational policies.Teaching: Responsible for technician, pharmacist, student and residenttraining.PharmD or BPharm (with equivalent experience).Pharmacy Residency + 2 yrs work in managed care or PBM (or candidate with a minimum of five years equivalent experience).Job Related Knowledge,Skills and Abilities(Competencies):Pharmacy benefit management including medication policy development, formulary development and benefit design Excellent communication, written and verbal Supervision of pharmacists and technicians and other staff Contemporary Pharmacy Practice Extensive knowledge of Medicare/Medicaid and Commercial InsurancesMS, MBA,MPH,BCPSManaged care concepts and knowledge of benefit design and implementation and prior authorization workflows.Experience in clinical and/or business program development, Microsoft applications and project management Experience with PBM or health planThe incumbent will spend a significant amount of time at a computer terminal. The position must deal with situations on a daily basis with a high degree of intensity. In addition, within the health care setting therecan be significant lack of control over the work pace, with frequent interruptions (work is often dictated byexternal factors) that may lead to mental fatigue or stressBenefits:Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employeeTwo separate above market pension plans to choose fromVacation- up to 200 hours per year depending on length of serviceSick Leave- up to 96 hours per year8 paid holidays per yearSubstantial Tri-met and C-Tran discountOregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or .

Created: 2025-11-01