Pharmacy Program Manager

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $58k - $73k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Curative

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2020

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

Curative is an employer-focused health insurance company offering a next-generation group health plan that emphasizes affordability, engagement, and simplicity. Their plans promise $0 in-network copays, $0 deductibles, and a single competitive monthly premium, along with a broad provider network, telehealth, an extensive $0-preferred prescription formulary, care navigators, and the Curative Cash Card to eliminate out-of-pocket costs in many settings. Curative markets to employers and brokers while providing members with resources like a Baseline Visit, care programs, online portals, and pharmacy services, and holds an A- rating from AM Best and HITRUST r2 certification.

📋 Description

• Support the day-to-day administrative and operational activities of the PBM team, including scheduling, meeting coordination, documentation, correspondence, and tracking of key initiatives and deliverables. • Coordinate and support PBM leadership meetings, executive meetings, vendor meetings, and other pharmacy-related meetings and initiatives. • Serve as a liaison between the PBM team, senior leadership, vendors, and cross-functional departments to facilitate timely communication, issue resolution, and execution of pharmacy initiatives. • Support health plan pharmacy operations and coordinate with vendors to ensure operational processes and services align with approved benefit design, formulary strategy, and business requirements. • Support formulary implementation and maintenance activities, including formulary updates, drug file reviews, benefit configuration coordination, and related operational activities. • Assist with preparation and coordination of Pharmacy & Therapeutics (P&T) Committee materials, meeting agendas, drug reviews, documentation, and follow-up activities. • Review, maintain, and coordinate updates to prior authorization (PA) guidelines, pharmacy FAQs, member and provider education materials, and other pharmacy-related communications. • Collaborate with PBM leadership and key stakeholders to communicate pharmacy strategies, clinical programs, benefit changes, and other pharmacy initiatives across the organization. • Develop and coordinate training and educational materials for Member Services, Account Management, Sales, Operations, and other teams as appropriate. • Assist the Director of Pharmacy Networks with pharmacy network-related activities and initiatives. • Maintain and update monthly pharmacy network files and related documentation. • Review and analyze network reports, audits, and identified issues and coordinate appropriate follow-up. • Support pharmacy network monitoring, maintenance, and issue resolution activities. • Assist with direct pharmacy contracting initiatives and related documentation and follow-up. • Support pharmacy network projects, operational needs, and other initiatives as assigned. • Track pharmacy projects, action items, deadlines, and deliverables to support timely execution and accountability. • Identify opportunities to improve pharmacy processes, workflows, communications, and operational efficiency. • Support vendor management activities, including coordination of deliverables, issue tracking, documentation, and follow-up. • Maintain appropriate documentation and records related to pharmacy programs, operations, vendors, and regulatory requirements. • Support other Pharmacy and health plan operational initiatives as needed.

🎯 Requirements

• Bachelor’s degree required • Must possess an active Pharmacy Technician license in the applicable PTCB • 3+ years of experience in healthcare, managed care, PBM, pharmacy operations, or a related field. • Strong organizational and project management skills, with the ability to manage multiple priorities, deadlines, and projects with a high degree of accuracy and attention to detail. • Excellent written and verbal communication skills, with the ability to effectively communicate with senior leadership, vendors, and cross-functional teams. • Working knowledge of pharmacy benefits, claims processing, pharmacy operations, and prescription drug terminology. • Demonstrated ability to proactively identify issues, exercise sound judgment, and develop practical solutions in a fast-paced environment. • Highly resourceful and collaborative, with the ability to work independently and effectively across multiple departments and external business partners. • Ability to handle confidential information with discretion and adapt to changing priorities. • Proficient in Google Suite, Microsoft Office (Outlook, Word, Excel, and PowerPoint), Adobe Acrobat, and Video Conference Software (Zoom, Google Meets, WebEx, Teams, etc.) • Project Management certification preferred

🏖️ Benefits

• Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.) • $0 copays and $0 deductibles (with completion of our Baseline Visit ) • Preventive and primary care built in • Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged) • One-on-one care navigation • Chronic condition programs (diabetes, weight, hypertension) • Maternity and family planning support • 24/7/365 Curative Telehealth • Pharmacy benefits • Comprehensive dental and vision coverage • Employer-provided life and disability coverage with additional supplemental options • Flexible spending accounts • Generous PTO policy plus 11 paid annual company holidays • 401K for full-time employees • Generous Up to 8–12 weeks paid parental leave, based on role eligibility.