Senior Director – PBM Implementation, Transformation

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $190k - $210k / year

⏰ Full Time

🟠 Senior

👔 Director

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Pharmaceutical Strategies Group - PSG

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2003

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Pharmaceutical Strategies Group - PSG is a company that specializes in optimizing pharmacy programs to unlock maximum cost savings and produce extraordinary outcomes. As part of the EPIC company, PSG serves to navigate the complex and ever-changing landscape of drug cost management. They provide pharmacy benefits consulting, clinical optimization, audits, and other specialized services to employers, health plans, and other organizations. The company is renowned for its data-driven insights and research, using their Artemetrx analytics platform to drive financial results and enhance program performance. PSG strongly advocates for their clients, providing independent and transparent advisory services dedicated to optimizing pharmacy operations and benefits. With over 30 years of pharmacy advocacy experience, they focus on delivering custom solutions and data-backed insights to help clients manage costs effectively and efficiently.

📋 Description

• Lead planning, execution, and successful delivery of all client implementation engagements • Establish implementation governance frameworks covering status reporting, risk management, issue resolution, decision tracking, and escalation processes • Ensure implementation activities are on time, within scope, aligned with client requirements, and compliant with organizational standards • Provide leadership oversight and performance monitoring for implementation managers, project managers, business analysts, and implementation consultants • Monitor portfolio health and address risks, resource constraints, and delivery challenges • Ensure deliverables meet quality standards and contractual obligations • Serve as primary operational leader for client implementations • Build and maintain client stakeholder relationships throughout the implementation lifecycle • Manage and communicate requirements, dependencies, assumptions, and decisions • Lead steering committees, status reviews, and operational governance meetings • Advise clients on implementation readiness, operational impacts, testing strategies, and deployment planning • Escalate significant risks, issues, and client concerns to executive leadership • Develop and improve implementation methodologies, playbooks, tools, templates, and best practices • Standardize processes and establish performance metrics and dashboards • Drive continuous improvement and process transformation initiatives • Lead resource forecasting, staffing assignments, workload balancing, and capacity planning • Identify resource gaps and develop mitigation plans • Coordinate internal and external implementation resources • Partner with Sales, Consulting, Product, Operations, Clinical, and Technology teams • Support proposal development with timelines, staffing assumptions, operational requirements, and delivery considerations • Develop dashboards, scorecards, milestone tracking tools, SLA reporting, and executive summaries • Monitor portfolio performance and provide analysis and recommendations • Track implementation KPIs including quality, timelines, client satisfaction, resource utilization, and financial performance • Lead, mentor, and develop the implementation organization • Establish performance expectations and accountability standards • Support recruitment, onboarding, professional development, performance reviews, coaching, and career development planning • Coordinate activities with PBMs, technology vendors, implementation partners, and third-party organizations • Monitor partner performance and manage external dependencies, issues, and escalations

🎯 Requirements

• Bachelor's degree in business, Healthcare Administration, Information Technology, Project Management, or related field required • Master's degree preferred • 10+ years of implementation, operations, consulting, or project leadership experience • 5+ years of leadership experience managing implementation, project management, consulting, or operational teams • Demonstrated success leading large-scale client implementations in healthcare, pharmacy benefit management, managed care, consulting, or related industries • Experience managing complex cross-functional projects involving multiple stakeholders • Strong background in operational process improvement, governance, and service delivery management • Deep understanding of PBM implementation methodologies, project governance, and operational delivery models • Strong leadership and team development capabilities • Excellent executive communication and client relationship management skills • Experience with resource planning, capacity management, and workforce forecasting • Strong analytical and problem-solving skills • Ability to manage multiple priorities in a fast-paced environment • Experience building and improving operational processes and performance management frameworks • Knowledge of healthcare, pharmacy benefits, managed care, or consulting operations preferred

🏖️ Benefits

• Managed PTO for salaried/exempt employees without accruals or caps • 22 PTO days starting out for hourly/non-exempt employees • 12 company-observed paid holidays • 4 early-close days • Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave • $1,500 employee referral bonus per hired referral • Employee recognition programs, awards, and trips • Employee Resource Groups • Mentorship Program • Tuition Reimbursement Program • Leadership Development • Pet Insurance • Identity Theft & Fraud Protection Coverage • Legal Planning • Family Planning • Menopause & Midlife Support • 401(k) matching • Medical insurance • Dental insurance • Vision insurance • Wellness and employee assistance programs • 50/50 Work Culture supporting collaboration, teamwork, and an inclusive work environment • Charitable efforts including Donation Connection, Employee Assistance Fund, and People First Foundation