PHARMACY BENEFIT MANAGER (PBM) OPERATIONS MANAGER
Oakland, CA 
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Posted 11 days ago
Job Description

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UC OFFICE OF THE PRESIDENT

At the University of California (UC), your contributions make a difference. A world leader producing Nobel and Pulitzer prize recipients with over 150 years of groundbreaking research transforming the world. Choose a career where you can leverage your knowledge, skills and aspirations to inspire and support some of the greatest minds in the world, and those who will follow in their footsteps. Working at the University of California is being part of a unique institution, and a vibrant and diverse community. At the University of California, Office of the President, we propel our mission through impactful work locally, in government centers and systemwide. We are passionate people, serving the greater good.

The University of California, one of the largest and most acclaimed institutions of higher learning in the world, is dedicated to excellence in teaching, research and public service. The University of California Office of the President is the headquarters to the 10 campuses, six academic medical centers and three national laboratories and enrolls premier students from California, the nation and the world. Learn more about the UC Office of the President

DEPARTMENT OVERVIEW

University of California Health (UCH) comprises six academic health centers, 20 health professional schools, a Global Health Institute and systemwide services that improve the health of patients and the University's students, faculty and employees. All of UC's hospitals are ranked among the best in California and its medical schools and health

professional schools are nationally ranked in their respective areas.

The Leveraging Scale for Value (LSfV) team is responsible for providing oversight of complex processes while executing targeted initiatives with the overarching goal of providing value through "systemness" across all of UCH.

Within various initiatives, the goals are increasing revenue, sharing best practices across the system, and achieving significant cost savings.

Key areas of focus include:

Information Technology

Revenue Cycle

Supply Chain

Laboratory Services

Pharmacy

Capital Equipment

POSITION SUMMARY

The Pharmacy Benefit Manager (PBM) Operations Manager will manage the day to day operations of the UC Health PBM. They will be part of the UC Health LSfV team and have responsibilities to support initiatives leading to cost reduction, revenue improvement and overall sharing of best practices.

The PBM Operations Manager will be responsible for direct and indirect oversight of team(s) of experts who oversee the development, implementation and on-going operational management for the UC Health PBM programs. Core aspects of this effort include: (i) daily operations support for system-wide PBM operational initiatives; (ii) management oversight and evaluation support for Value Analysis teams - this will include teams focused on making changes to clinical practice; (iii) development, implementation and on-going support of a best in class PBM function for clients including the application of transformative initiatives; (iv) contract and compliance oversight.

This position will exercise a high level of judgement in selecting methods, techniques, and evaluations criteria for obtaining results. The position requires the utmost integrity, honesty, flexibility, and ability to work well with a wide range of internal and external stakeholders, including executive leadership across Health Systems.

Responsibilities

50%

Operations Support for PBM Operational Initiatives: Works with the UC Health strategy, pharmacy and self-funded teams on identifying, and then implementing PBM projects that will lead to improved plan performance for the UC Health supported plans. In conjunction with key stakeholders at UC Health and the medical centers, establishes appropriate project plans for each initiative that will ensure timely and successful completion. Serves as PBM lead for system wide PBM initiatives and provides project management support to the various teams in UC Health focused on Transformation. Works with appropriate individuals to break down barriers and to identify and establish mutually acceptable solutions. Works the project teams to ensure timely and successful initiative completion.

30%

Compliance and Oversight: Acting in coordination with the pharmacy, self-funded and legal/compliance team serve as the system wide liaison between clients and PBM. Serves as system wide liaison to break down barriers and/or to identify the required resources for compliance success.

20%

Value Analysis Oversight and Coordination Support for PBM Initiatives: Working with stakeholders at UC Health medical centers and in collaboration with the strategic sourcing team and Chief Procurement Officer, identifies and establishes the appropriate Value Analysis team for strategic sourcing initiatives. Supports the Value Analysis and strategic sourcing teams to establish goals and objectives and utilizing established project management tools develop and implement a project plan and timeline. Coordinates Value Analysis team efforts between strategic sourcing teams, data analytics, stakeholders at the UC Health medical centers and appropriate resources. Prepares regular update reports for key stakeholders (includes Chief Transformation Officer and UC Health Chief Procurement Officer) as well as other teams within UC Health - such as strategic sourcing teams.

Required Qualifications

  • At least seven years of PBM operations experience running PBM operations from several different perspectives.
  • Expert ability to advise senior management on matters concerning several functional areas, departments and / or customers to develop and implement long-term strategic decisions that impact the division and organization as a whole. Capable to plan, design and implement programs of systemwide impact.
  • Advanced knowledge of the functional area, projects, programs, research and issues in support of the function, program and / or organizational unit or initiative.
  • Excellent consulting, relationship building and strategic thinking skills. Ability to multi-task, use discretion and maintain all confidentiality. Must have strong verbal and written communication skills.
  • Sophisticated leadership abilities to establish department goals, and motivate and influence others to achieve.
  • Thorough knowledge of financial analysis and reporting techniques; human resources and risk management planning; accounting and payroll.
  • Excellent ability to establish mission and goals at the macro-level; to lead subordinate management to develop goals in alignment with mission.
  • Experience working in an environment with changing priorities and demands, diverse and differing goals and objectives, and highly passionate individuals in order to establish and execute system wide efforts.
  • Proven customer service and interpersonal skills and the ability to coordinate work with other, both internally and externally, to accomplish tasks.
  • Excellent communication and team building skills; experience with communications at all organization levels from strategic leadership to support functions; ability to present complex in a manner that is accessible to a variety of audiences.
  • A high level of emotional intelligence; must have the capacity to be aware of, control, and appropriately express emotions, and handle interpersonal relationships judiciously and empathetically.
  • Ability to accomplish results and effectively integrate functions across units and amid competing priorities in a complex multi-mission organization; must consistently demonstrate and encourage a commitment to quality, customer-centeredness, productivity, and continuous improvement.
  • Advanced ability to coach, facilitate and influence people at all levels; advanced ability to build and maintain relationships with a broad range of staff, members of the UC Community, and external partners.

Preferred Qualifications

  • Health system Pharmacy and PBM background.
  • Advanced degree in related area.

Education

  • Bachelor's degree in related area and / or equivalent experience / training.

SPECIAL CONDITIONS

SALARY AND BENEFITS

Salary: Recommended salary range is $140,000 - $160,000 commensurate with experience.

Benefits: For information on the comprehensive benefits package offered by the University visit: Benefits of Belonging

ADDITIONAL INFORMATION

HOW TO APPLY

Please be prepared to attach a cover letter and resume with your application.

APPLICATION REVIEW DATE

The first review date for this job is October 27, 2021. The position will be open until filled.

CONDITIONS OF EMPLOYMENT

Background Check Process: Successful completion of a background check is required for this critical position. Background check process at UCOP

Smoke Free Work Environment: The University of California, Office of the President, is smoke & tobacco-free as of January 1, 2014. UC Smoke & Tobacco Free Policy

August 2021 Update: The University of California has issued a policy requiring employees to be fully vaccinated against COVID -19 before physically accessing the University location or programs. Upon hire into a UCOP position, you will be provided detailed instructions on how to comply with this policy including access to the COVID vaccination at no cost. New hires to UCOP who work onsite or will come onsite for any activities at a UCOP or other UC location must comply with this policy within 8 weeks after their start date. The policy allows for employees to request approval for an exception or deferral. UC COVID-19 Vaccine Policy

EEO STATEMENT

The University of California, Office of the President, is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. EEO/AA Employer UC Nondiscrimination Policy

The University of California, Office of the President, strives to make this job board accessible to any and all users. If you have comments regarding the accessibility of our website or need assistance completing the application process, please contact us at: Accessibility or email the Human Resource Department at: epost@ucop.edu.



The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. If you have questions, please email the Human Resources Department.

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
Bachelor's Degree
Required Experience
7+ years
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