Sr. Manager, Program and Project Management (Pharmacy Operations and Stabilization)

Your Role

The Pharmacy Operations and Stabilization team provides management and end to end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit changes are clearly defined, accurately validated, and effectively managed from issue identification through resolution within a matrixed environment.

The Sr. Manager, Program and Project Management (Pharmacy Operations and Stabilization team), will report to the Director of Pharmacy Operations. In this role you will be responsible for the management and ownership of the end-to-end activities needed to bring all pharmacy production stabilization issues to full resolution, develop executive level communications and reporting to keep key stakeholders informed of status, and support annual readiness activities. Leading a team of professionals, you will drive processes and business efficiencies in support of our culture of affordability. This position will work closely with the Pharmacy Strategy and Operations team, cross-functionally with other teams within Blue Shield of California (BSC) and Stellarus, as well as with our external vendor partners to ensure timely and accurate resolution of pharmacy production stabilization issues.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work

In this role, you will:

• Partner with business drivers to execute on sub-portfolio delivery including schedule, scope, resource management, financials, benefit tracking, knowledge of emerging technologies and issue/risk management to ensure successful completion of all projects and programs in support of the business strategies
• Partner with managers to manage intake, Rough Order of Magnitude (ROM) estimation and demand/capacity to ensure projects within the program meet cost, resource, environment, schedule, and other constraints within their domain
• Provide oversight and direction of all the projects and releases within the sub portfolio (schedule, issues/risks, budget, resources, and PPM/PWA adherence)
• Oversee and manage Program Managers, Project Managers, and Analysts in support of the delivery of the sub portfolio
• Be accountable for ensuring overall program and project delivery, schedule and budget attainment, and effective management of leadership expectations in achieving overall desired outcomes, results, and deliverables
• Provide direction, ownership, and oversight over the end-to-end BSC production stabilization process, including BSC and vendor specific incidents to assure that production stabilization issues that are partially or fully caused by contracted vendors and affiliated companies are resolved timely and accurately
• Own intake, assignment, direction, and resolution on pharmacy production stabilization issues and solutions that affect the BSC book of business, including collaboration with stakeholders at all levels, identification of downstream impacts to ensure that issues are fully remediated without unintended negative consequences and identifying production stabilization issue trends, operational improvement opportunities, and providing expert recommendations to stakeholders and vendors
• Assure that all production stabilization incidents have complete documentation from root cause analysis, impact reports, solution alternatives, decisions, communication plan, and implementation
• Oversee and manage activities related to supporting the Pharmacy Annual Readiness and Command Center (RxARCC) team
• Oversee and manage activities related to maintaining the pharmacy business continuity plan including annual reviews and audits
• Oversee and manage activities related to Quality Assurance and Testing to ensure accurate benefit implementation
• Perform other duties as assigned

Your Knowledge and Experience

• Requires a Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree
• Requires 8 years of prior relevant experience
• Requires 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
• Advanced knowledge of pharmacy operations at the health plan level
• Experience driving strategic projects and partnering cross-functionally as well as with external vendor partners to achieve successful outcomes
• Excellent verbal and written communication skills that exhibit a solution-oriented approach
• Excellent analytical and problem-solving skills
• Demonstrated leadership, project management, and program evaluation skills

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.