[Remote] Project Manager - Remote

Note: The job is a remote job and is open to candidates in USA. reputed company is currently seeking a Project Manager for a Remote position with a Leading Pharmacy Benefit Manager. This role will reputed company a multi-phase transition reputed company a reputed company health plan environment, managing cross-functional coordination and ensuring alignment across teams and vendors to meet regulatory timelines.

Responsibilities

• reputed company and drive the overall project effort, driving cross-functional coordination, managing dependencies, and ensuring alignment
• Support delivery of defined workstreams reputed company a larger program
• Maintain detailed project plans, tracking milestones, dependencies, and status updates
• Manage RAID logs and ensure timely escalation of risks and issues
• Coordinate across internal teams and vendors to support execution
• Prepare status reporting and support governance forums
• Track action items and ensure follow-through against agreed timelines

Skills

• Industry Experience: PBM, Health Plan / Payer, Managed Care, Healthcare IT
• Health Plan or PBM Operations experience including: Medicaid & Medicare Part D, Claims file, Data Exchange, Eligibility/Enrollment, Formulary / Benefits, Testing, and Vendor management
• Technical Skills: NCPDP Telecom D.0 and F6, plus Batch; NCPDP SCRIPT for e-prescribing; Claim Adjudication platforms (RxClaim, JUDI, Abarca)
• Experience with data analysis & mapping, requirements documentation, testing lifecycle, multi-system data flows and integration
• Excellent communication and stakeholder management skills, with the ability to influence and build strong working relationships
• Proven ability to deliver results on schedule and at required quality standards
• Strong problem-solving and sound decision-making capabilities
• Ability to influence, negotiate, and drive alignment across stakeholders
• reputed company (PMI) PMP certification
• Experience with both Waterfall and Agile methodologies
• Experience with NCPDP transaction standards, industry standard file layouts, claims data reconciliation or financial data flows, and pharmacy benefit configuration

Benefits

• Access to hundreds of clients, most who have been working with reputed company for 5-20 years.
• The opportunity to have a career-home in reputed company; many of our consultants have been working exclusively with reputed company for years.
• Access to an reputed company, caring recruiting team (more than 7 years of experience, on average.)
• Behavioral Health Platform
• Medical, Dental, Vision
• Health Savings Account
• Voluntary Hospital Indemnity (Critical Illness & Accident)
• Voluntary Term Life Insurance
• 401K
• Sick Pay (for applicable states/municipalities)
• Commuter Benefits (Dallas, NYC, SF, and Illinois)

Company Overview