Senior Manager, Project Manager, Aetna Medicare Medical Pharmacy

• Lead the day-to-day operations of key business projects and programs around utilization management (UM), clinical programs, and pharmacy operations
• Proactively leads projects by setting direction, creating project plans, timelines, identifying key milestones, and allocating resources needed for selected projects
• Support the submission of pharmacy policies through multiple approval bodies
• Support the posting of pharmacy policies for internal and external partners and stakeholders
• Develop processes, procedures, and systems to ensure consistent results and organizational compliance with regulations related to the organization's Medicare Part B program operations
• Triage escalation requests to the correct internal partner and document resolution of Part B drug escalations
• Identify gaps and recommend enhancements related to new and/or existing products, services, and workflows based on a broad view of the organization
• Lead change initiatives and remains flexible to changing business needs, identifying and implementing continuous quality improvement
• Conduct and lead meetings/presentations with cross-functional business partners ensuring team participation and collaboration
• Clearly communicates plans for implementation to ensure all impacted parties (upstream/downstream) are informed of next steps for completion, facilitating team communication and coordination

• 5 years of experience leading processes, products, and/or people
• Experience managing complex processes that require strong attention to detail
• Experience partnering with cross functional teams, PBM or Health Plan experience preferred
• Proven ability to collaborate effectively across teams and build strong relationships
• Exceptional problem-solving and decision-making skills
• Growth mindset with a focus on agility, continuous learning, and development
• Proficient user of Excel, PowerPoint, Word
• Bachelor's degree preferred or a combination of equivalent work experience and education

Project management certification

• Affordable medical plan options
• 401(k) plan with matching company contributions
• Employee stock purchase plan
• No-cost wellness screenings
• No-cost tobacco cessation programs
• No-cost weight management programs
• Confidential counseling
• Financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access