Sr Mgr, Aetna Medicare Medical Pharmacy (Pharmacist)
About the position Responsibilities • Lead the long-term vision and strategy around Part B drug management related to utilization management (UM), clinical programs, and pharmacy operations. • Lead the day-to-day implementation and operations around Part B drug strategies related to UM, clinical programs, and pharmacy operations. • Monitor the Part B drug and specialty drug pipelines for innovative drug therapies and trend drivers, ensuring alignment with business objectives. • Effectively resolve internal and external escalations and clearly document results. • Identify gaps and recommend enhancements related to new and/or existing products, services, and workflows based on a broad view of the organization. • Outreach to members and providers to optimize clinical outcomes and cost-effective care. • Drive operational excellence around Part B drugs including UM and claims processes and systems. • Conduct and lead meetings/presentations with cross-functional business partners and external parties, including market leads, employer group stakeholders, and vendor partners, ensuring team participation and collaboration. • Other duties as assigned Requirements • Active, unrestricted pharmacist license in state of residence • 5+ years of relevant work experience in a PBM or health plan preferred • Experience managing complex processes that require strong attention to detail • Proven ability to collaborate effectively across cross functional 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 Benefits • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Apply tot his job