Pharmacy and Ancillary Program Manager

Introduction

Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You ll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference.

GUIDE. GUARD. GO BEYOND. We believe that every candidate brings something special to the table, including you! So, even if you feel that you re close but not an exact match, we encourage you to apply.

The Manager of PBM is responsible for overseeing day-to-day operations within the PBM program/ department. They are responsible for establishing appropriate staffing levels and work assignments, developing performance criteria for staff, serving as an expert resource on laws, policies and operational procedures, and ensuring that the operations of the Pharmacy program are consistent with organizational standards.

• Provides management direction to the Clinical Assistants and Implementation Coordinators within PBM Program.
• Shares responsibility for collecting, analyzing, evaluating and presenting clinical management and operations data to a wide range of audiences.
• Ensure appropriate staff involvement in institutional resource management efforts.
• Participates on assigned executive and corporate committees; promotes effective communication between departments and entities, acting as a liaison to facilitate information sharing, collaborative problem solving and adequate provision of support services; fosters and maintains collaborative relationships within the company and the client, and with external agencies related to quality and performance initiatives as well as day to day operations issues that may arise.
• Directly responsible for personnel actions including, but not limited to, hiring, performance appraisals, promotions, vacation schedules, and maintaining payroll records and time reports.
• Collaborate with management, medical director, and educational resources to develop mechanisms for staff development and to make appropriate changes as needed to keep department current with new regulations, policies and trends in the Case Management field.
• In collaboration with program management, participates in the preparation of department budget.
• Make budgetary recommendations and projections.
• Monitor, verify and reconcile expenditures of budgeted funds, compiling information reflecting expenditures, and develop cost-comparisons.
• Identify cost savings within the operation.
• Maintain skills in case management/utilization management to allow for coverage of a caseload as needed and/or to cover staffing shortages in the department.

Required:

• Bachelors Degree;
  Minimum 5 years management and supervisory experience
• Professional communication and presentation skills
• PC Literate
• Experience with Project Management required
• High intermediate to advanced Microsoft Office skills necessary

Preferred:

• 5 or more years in worker s compensation
• Background in Managed Care, Bill Review, or PBM management
• Some variation of experience may compensate for experience in all categories

#LI-HL1

#LI-REMOTE

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours.

On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense…