Note: The job is a remote job and is open to candidates in USA. Blu Omega is seeking a Program Manager to support a federal program focused on healthcare policy and pharmacy within Medicare Part B and/or Medicare Part D programs. This role is responsible for overseeing an integrated team of specialists, reviewers, statisticians, and data analysts to achieve CMS goals and objectives related to these programs.
Responsibilities
- Oversee and manage an integrated team supporting Medicare pharmacy programs
- Lead policy analysis and validate advanced analyses related to Medicare Part B and D
- Supervise clinical reviews and evaluate program enhancements
- Identify, report, and mitigate program, contractual, budget, or delivery risks
- Collaborate with CMS and other government agencies on stakeholder engagement and technical recommendations
- Represent the program in large meetings with internal and external stakeholders
Skills
- Minimum of 15 years of pharmacy/healthcare experience, with 7+ years specifically in Medicare Part B and D programs
- Proven ability to evaluate resources, processes, and roles within integrated teams supporting multi-customer environments
- Experience managing integrated teams, including subcontractors, with oversight of budgets and delivery risks
- Experience working with CMS data or health claims data in the Medicare and Medicaid environments
- Knowledge of Medicare Advantage encounter data and Prescription Drug Event (PDE) data
- Experience collaborating with CMS and other government payer programs
- Ability to deliver technical recommendations to diverse stakeholders
- Experience facilitating large meetings with internal and external audiences
- Experience with federal procurement and proposal processes
- Ability to demonstrate relationships within CMS
- Bachelor's degree preferred; 10+ years of relevant experience may be considered in lieu of a degree
- Ability to obtain and maintain a Public Trust or Suitability/Fitness determination
- PharmD, B.S. Pharmacy with 15+ years of pharmacy experience, Healthcare Administration, or related discipline
- Certification in Project or Program Management (PMP, PgMP), pharmacy credentials (e.g., PharmD or Board Certification)
- Experience with pharmaceutical benefit management organizations
- Familiarity with healthcare technology systems related to pharmacy, such as EHRs or pharmacy information systems
- Knowledge of analytic programming languages including R, Python, SAS, SQL
- Experience presenting technical reports and findings to senior leadership
- Published research in peer-reviewed journals
- Ph.D. in economics, statistics, or related field
Benefits
- Medical, Dental, and Vision coverage through national providers
- 401(k) with company match (eligible after 6 months; vesting applies)
- Company-paid Life and AD&D insurance with additional voluntary options
- Short-term disability (company-paid) and long-term disability options
- Employee Assistance Program (EAP) with 24/7 confidential support and mental health resources
- Telehealth and virtual care options available through medical plans
- Pet insurance, legal services, and identity theft protection options
- Paid Time Off (PTO) for eligible employees
- Paid federal holidays for salaried employees
- Access to wellness programs, discounts, and lifestyle benefits
- Benefits eligibility and offerings may vary based on role, employment status, and program requirements.
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