Medicare Part D Operations Manager

Job Summary

A company is looking for a Pharmacy Benefits Operations Manager - Medicare Part D.

Key Responsibilities

• Oversee day-to-day Medicare Part D pharmacy operations, including issue resolution and stakeholder coordination
• Manage the end-to-end operations of the Medicare Prescription Payment Plan (M3P) program, ensuring compliance with CMS regulations
• Support operational readiness for annual CMS deliverables, including benefit testing and training on pharmacy benefit changes

Required Qualifications

• 5 years of experience in a health plan, PBM, IPA, or managed care setting
• 2+ years in an operations management role related to Medicare Part D is preferred
• Bachelor's degree in a relevant field or equivalent work experience is required
• Master's degree (MBA, MHA, MPH) is preferred
• Experience in regulatory compliance and operational readiness initiatives