• Pharmacy Benefits Program Manager

    System One (Baltimore, MD)


    Job Title: Pharmacy Benefits Program Manager

     

    Client: Health Insurance Organization

     

    Contract Type: Contract-to-Hire

     

    Rate: $120/HR

    Job Summary

    ALTA IT Services is seeking an experienced Pharmacy Benefits Program Manager for a contract-to-hire engagement with a leading health insurance company. This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The Program Manager will lead a major pharmacy supply chain implementation and PBM transition, overseeing execution activities, stakeholder alignment, contract and vendor management, and driving overall business readiness.

    Key Responsibilities

    Project Leadership & Accountability

    + Lead and manage the business execution team to meet project goals, objectives, and deadlines.

    + Provide strategic direction in collaboration with business sponsors, IT, PMO, and vendors.

    + Make critical business decisions in partnership with leadership stakeholders.

    Contracts & Vendor Management

    + Negotiate and manage PBM and pharmacy supply chain contracts, including Statements of Work (SOWs).

    + Monitor vendor performance, resolving issues with IT, PMO, and Operations teams to ensure successful delivery.

    Value Story Development and Communication

    + Develop and validate the financial and operational value story of the PBM supply chain model.

    + Collaborate with executive sponsors to align on organizational impact and cost-benefit outcomes.

    + Provide regular updates to stakeholders and adjust value realization strategies as needed.

    Cross-Functional Collaboration & Business Readiness

    + Facilitate collaboration between IT, PMO, vendors, and business units to ensure a seamless transition.

    + Translate business needs into actionable requirements and ensure clear communication across teams.

    + Lead meetings with stakeholders to address project status, risks, and mitigation plans.

    + Support business readiness by overseeing training, documentation, and operational transition plans.

    Risk Management & Performance Optimization

    + Identify operational risks and implement mitigation strategies.

    + Recommend process improvements for cost efficiency and service enhancement.

    + Ensure business continuity and performance throughout project lifecycle.

    Qualifications

    Required Education & Experience:

    + Bachelor’s degree in Business Administration, Healthcare Management, Supply Chain, or related field.

    + Minimum 7+ years in pharmacy supply chain, PBM operations, PBM contracting, or related fields.

    + Experience leading PBM transitions or implementations for a health plan, PBM, or consulting firm.

     

    In lieu of degree: An additional 4 years of relevant experience is required.

    Preferred:

    + MBA or Master’s in a business-related discipline.

    Required Skills

    + Deep expertise in PBM contracting, claims adjudication, pharmacy networks, and rebate/discount financial flows.

    + Knowledge of compliance frameworks and regulations impacting pharmacy operations.

    + Strong strategic decision-making capabilities in complex, high-visibility environments.

    + Familiarity with Medicare, Medicaid, and Commercial pharmacy benefit operations.

    + Excellent verbal and written communication skills across all organizational levels.

    + Strong leadership and stakeholder engagement skills, including vendor and executive management.

    + Proven ability to manage large-scale, multi-functional projects in fast-paced settings.

     

    Ref: #855-IT Baltimore

    #M2

    System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

     

    System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.