Pharmacy Operations Program Manager or Sr DOE
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Overview
Job Description
Pharmacy Operations Program Manager or Sr DOE
Hybrid within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated team of Pharmacy Operations Program Managers are living our mission to make health care easier and lives better. As a member of the Pharmacy Services Operations team, our Pharmacy Operations Program Managers oversee complex pharmacy benefit programs, manage vendor relationships, and drive operational excellence – all in service of creating a person-focused health care experience.
Do you thrive on managing complex programs from implementation through optimization? Are you energized by collaborating across teams to solve challenges and drive continuous improvement? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Bachelor's degree in business, health administration, or related field and 5+ years of progressive experience in operational/business management, project/program management in healthcare, healthcare insurance operations or other large complex industries, and/or vendor management, or equivalent combination of education and experience
Project Management Professional (PMP) certification or equivalent work experience preferred
Experience managing end-to-end projects/programs including implementation in a healthcare setting and working with third-party service providers
Skills and Attributes:
Deep knowledge of pharmacy benefits, insurance operations, and healthcare delivery systems
Strong analytical capabilities with ability to perform data-driven analysis of business opportunities and surface actionable insights
Proven ability to develop and maintain vendor performance management strategies including scorecarding, SLA monitoring, and business reviews
Expertise in project planning, scope management, resource allocation, risk mitigation, and cost management
Skilled at establishing monitoring and control procedures for program assessment and continuous improvement
Excellent stakeholder management with ability to build collaborative relationships across all organizational levels
Strong presentation skills with ability to communicate complex information to leadership, project teams, and client groups
Proactive problem-solver who independently identifies opportunities, gaps, and process improvements
Ability to escalate and resolve issues effectively, ensuring timely problem resolution
Experience facilitating and leading cross-functional teams to address complex operational challenges
Capable of mentoring colleagues and acting as a subject matter expert
Commitment to establishing personal goals aligned with team mission and maintaining accountability
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
What You Will Do at Cambia:
Manage new and buy-up pharmacy benefit programs, collaborating with Rx Product, Rx Informatics, Clinical, GTM, and StratFi teams on strategic decisions, implementations, and program enhancements
Develop and maintain comprehensive monitoring and assessment protocols in partnership with program leaders and cross-functional directors, recommending improvements as needed
Define, collect, and analyze program metrics to ensure performance targets are met and deliver insights to appropriate leadership forums including Echo report-outs
Oversee vendor relationships and performance management, including regular scorecarding, SLA monitoring, risk identification, and continuous improvement initiatives
Work with Rx Informatics and configuration teams on metrics development, StratFi for pricing and revenue updates, Clinical for vendor-proposed drug list changes, and vendor dashboards
Lead problem management resolution efforts, validate issue prioritization, engage appropriate teams, and escalate to management when necessary to ensure timely resolution
Prepare and present operational plans, status reports, and program documents to organizational leadership, project teams, and stakeholders
Educate and train leadership, colleagues, business associates, and stakeholders on new program elements, processes, and implementations
Drive continuous improvement across all vendor oversight processes, evaluating program outcomes and implementing sustainable operational solutions
Facilitate multiple interdependent projects, maintaining accountability for scope, schedule, budget, risk management, and successful delivery of quality outcomes
#LI-Hybrid
The expected hiring range for a Pharmacy Operations Program Manageris $84,200 - $113,900depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $79,000 - $129,000.
The expected hiring range for a Pharmacy Operations Program Manager Senioris $101,200 - $136,900depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 15%. The current full salary range for this role is $95,000 - $155,000.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our .
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
