[Remote] Sr PBM Project Manager

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. Pyramid Consulting Group, Inc is a company focused on healthcare solutions, and they are seeking a Sr PBM Project Manager to lead complex, multi-vendor healthcare implementations. The role involves managing integrated project plans, ensuring alignment across various stakeholders, and overseeing testing strategies and execution.ResponsibilitiesLead complex, multi-vendor healthcare implementations, ensuring alignment across workstreams, timelines, and deliverablesDevelop and manage integrated project plans, including dependencies, risks, issues, and decision tracking (RAID)Drive cross-functional coordination across business, IT, operations, and external vendorsOversee testing strategy and execution, including UAT coordination across multiple systems and partnersManage program governance, status reporting, and executive-level communicationsProactively identify and mitigate risks to maintain schedule, quality, and regulatory alignmentSupport go-live planning, dual-use readiness, and command center executionSupport delivery of defined workstreams within a larger programMaintain detailed project plans, tracking milestones, dependencies, and status updatesManage RAID logs and ensure timely escalation of risks and issuesCoordinate across internal teams and vendors to support executionPrepare status reporting and support governance forumsTrack action items and ensure follow-through against agreed timelinesSkillsPBM/health plan experienceNCPDP D.0/F6 knowledgeExperience delivering in multi-vendor implementationsPBM, Health Plan / Payer, Managed Care, Healthcare IT experienceMedicaid & Medicare Part D backgroundClaims file, Data Exchange, Eligibility/Enrollment, Formulary / Benefits, PBM Operations, Testing, Vendor management experienceNCPDP Telecom D.0 and F6, plus Batch knowledgeNCPDP SCRIPT for e-prescribing knowledgeExperience with Claim Adjudication platforms (RxClaim, JUDI, Abarca)Data analysis & mapping skillsRequirements documentation skillsTesting lifecycle knowledgeMulti-system data flows and integration experienceExcellent communication and stakeholder management skillsProven ability to deliver results on schedule and at required quality standardsStrong problem-solving and sound decision-making capabilitiesAbility to influence, negotiate, and drive alignment across stakeholdersAbility to research subject matter and proactively share best practices and lessons learned with clients and teamProject Management Institute PMP certificationExperience with both Waterfall and Agile methodologiesNCPDP transaction standards knowledgeIndustry standard file layouts knowledgeClaims data reconciliation or financial data flows knowledgePharmacy benefit configuration knowledgeCompany OverviewPyramid Consulting Group is a recognized leader in today's Information Technology Staffing Industry. It was founded in 1996, and is headquartered in Gibsonia, Pennsylvania, USA, with a workforce of 51-200 employees. Its website is http://www.pyramid-group.com.Company H1B SponsorshipPyramid Consulting Group, Inc has a track record of offering H1B sponsorships, with 1 in 2023, 1 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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