Providence is calling a Senior Pharmacy Compliance Product Management Coordinator with Providence Health Plan Partners for our location in the Portland/Beaverton/Vancouver area.
This position serves two primary purposes within the Pharmacy Department at Providence Health Plans/Providence Plan Partners (PHP). First, the position is the designated pharmacy contact with state and federal regulatory staff at the Centers for Medicare and Medicaid Services (CMS), the states of Oregon and Washington Insurance Divisions and PHP's Regulatory Affairs Department. Second, the position is responsible for collaboration and coordination with PHP Product Management Teams for the following products: Medicare Part D, Commercial Group Drug Benefits, Individual Product Drug Benefits, H.SA Group and Individual Drug Benefits, Self-Insured (ASO) Drug Benefits, and Medicaid (OHP) Drug Benefits.
Bachelor's Degree in Business, Healthcare Administration, or Healthcare related field.
Project management, Change Acceleration Process (CAP), LEAN, and Work Out training.
National Certification as Pharmacy Technician within one year of employment.
Licensure in Oregon as a Pharmacy Technician.
10 or more years xperience in healthcare service field as a business analyst, project manager, compliance coordinator or pharmacy technician responsible for pharmacy benefit administration.
7 years Managed care or pharmacy benefit management (PBM) compliance experience.
7 years Demonstrated effectiveness experience working with administrative, policy, audit, regulatory compliance and/or operational aspects of the Medicare Advantage program, preferably in a managed care environment.
7 years Experience inclusive of internal audit and monitoring development and accountability for successful regulatory driven audits and associated responses with required leadership sign off.
7 years Progressively responsible experience in pharmacy compliance and product matters, leading staff through change or implementations and interfacing with senior leaders to assure appropriate visibility.
Project management, Change Acceleration Process (CAP), LEAN, and Work Out experience.
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence in Oregon
As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities.
The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple,
"Providence will provide the best care and service to every person, every time."
Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon.
We offer a full comprehensive range of benefits — see our website for details — http://www.providenceiscalling.jobs/rewards-benefits
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Project & Program Management (Clinical)
Other Location(s): Oregon, Washington-Vancouver
Req ID: 367056