Implementation Project Manager - Health Plan

Capital Rx

Capital Rx

Operations
Posted on Dec 16, 2024

Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

Position Summary:

The Implementation Project Manager oversees effective, accurate and timely transition of new clients to Capital Rx. Establishes implementation project plans, defines, and gathers requirements, outlines project objectives, defines success and leads client communications and presentations throughout the implementation process.

Position Responsibilities:

  • Oversee effective, accurate and timely transition of Health Plan & PBM clients to Capital Rx
  • Leverage knowledge of Commercial, Exchange, Medicaid and Medicare lines of business to successfully manage overall implementations
  • Establish implementation project plans, define and gather requirements, outline project objectives, and define success
  • Lead client communications and presentation throughout the implementation process, including, but not limited to, detailed and strategic guidance through documenting clients benefit design, communications strategy and trading partners data needs
  • Execute and review detailed benefit and communication testing to ensure accuracy
  • Maintain meticulous notes and constantly assess progress against key milestones
  • Proactively identify execution risks and develop solutions to address
  • Collaborate with internal and external subject matter experts (SME) to facilitate successful implementation
  • Build and maintain trusting relationships with clients and any associated third parties through superior customer service and oversight
  • Exceptional project / time management, prioritization, and organizational skills to ensure customer satisfaction during the onboarding experience
  • Support development of internal implementation and project management best practices
  • Support general business needs, as assigned
  • Responsible for adhering to the Capital Rx Code of Conduct

Required Qualifications:

  • Bachelor’s degree preferred or equivalent experience
  • 3+ years of PBM experience in project management, client onboarding, and/or account management with experience working on Health Plans for the following lines of business: Commercial, Exchange, Medicaid or Medicare
  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
  • Ability to lead multiple complex projects simultaneously and balance a range of key internal and external stakeholders
  • Exceptional written and verbal communication skills
  • Proficiency in MS Project, Excel, and PowerPoint

Preferred Qualifications:

  • Extremely flexible, highly organized, and able to shift priorities easily
  • Attention to detail & commitment to delivering high quality work product
  • Project Management Professional (PMP) Certification Preferred

Base Salary: $85,000 - $100,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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