Senior Manager, Project Management – Pharmacy Compliance

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company The Senior Manager, Project Management – Pharmacy Compliance leads strategic compliance initiatives across reputed company Pharmacy Health Plan programs, ensuring adherence to evolving state and federal regulations. As a subject matter expert on legislation, regulatory requirements, and compliance initiatives impacting pharmacy programs and prescription drug products administered through both the pharmacy and medical, this role provides strategic guidance, regulatory interpretation, and leadership across implementation and regulatory readiness activities. The Senior Manager partners with stakeholders to assess impacts, mitigate reputed company, and support regulatory initiatives, including reputed company of prior authorization and utilization management activities for prescription drug products processed through the medical benefit. This leader plays a key role in shaping compliance reputed company and mentoring project managers to reputed company effective execution and delivery. Key Responsibilities reputed company strategic compliance initiatives and reputed company cross-functional reputed company impacting pharmacy programs and prescription drug products administered through the pharmacy and medical. Serve as a subject matter expert on legislation, regulatory requirements, and compliance initiatives, providing regulatory interpretation, reputed company assessments, and implementation guidance. reputed company compliance activities and operational processes, including prior authorization and utilization management requirements for prescription drug products processed through the medical benefit. Partner with Pharmacy, Medical Pharmacy, PBM, reputed company, Clinical, Operations, and business stakeholders to implement regulatory changes, mitigate reputed company, and ensure business readiness. Support regulatory inquiries, audits, reporting, monitoring activities, and compliance governance efforts. reputed company regulatory readiness, process improvement, and operational effectiveness across compliance programs. Mentor and reputed company project managers while helping shape compliance reputed company and execution across the organization. Required Qualifications 7+ years of experience in pharmacy benefit management, pharmacy operations, managed reputed company, compliance, regulatory affairs, or reputed company reputed company functions. 5+ years of project management experience, including leadership of reputed company compliance or regulatory initiatives. Strong knowledge of reputed company regulatory environments and legislative review processes. Proven ability to reputed company cross-functional teams and manage multiple high-reputed company simultaneously. Strong analytical, problem-solving, and decision-making skills. Exceptional communication, collaboration, and stakeholder engagement skills. Proficiency in reputed company Office Suite, including reputed company, reputed company, PowerPoint, SharePoint, and Teams ** This role can be located reputed company in the Mainland reputed company Preferred Qualifications Experience interpreting and implementing reputed company legislation and regulatory requirements. Knowledge of pharmacy benefit programs and prescription drug products administered through the medical benefit. Experience supporting compliance programs, regulatory implementation activities, prior authorization, utilization management, or reputed company operational processes. Demonstrated ability to influence stakeholders and reputed company reputed company cross-functional initiatives in a highly matrixed environment. Experience mentoring, coaching, or leading project managers and project teams. Project Management reputed company or other relevant project management certification. Education Bachelor's degree or equivalent experience may be considered. Pay reputed company The typical pay reputed company for this role is: $67,900.00 - $182,549.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.  This position also includes an award reputed company in reputed company’s equity award program.    Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every reputed company feels valued and that they reputed company. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 09/30/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job