The Healthcare Project Manager will lead strategic initiatives designed to enhance Pharmacy Benefit Management (PBM) operations within a healthcare organization. This position requires a results-oriented professional capable of managing large-scale projects, ensuring compliance with healthcare and PBM regulations, and aligning initiatives with organizational strategy and patient-centered outcomes. The role demands exceptional leadership, cross-functional collaboration, and an understanding of both operational and regulatory complexities across the healthcare ecosystem.

Key Responsibilities
• Lead and oversee complex PBM and healthcare projects from planning through execution, ensuring that objectives, scope, and deliverables align with business goals and compliance requirements.
• Develop comprehensive project plans covering scope, schedule, resources, budgets, and risk mitigation strategies, maintaining strict control over deliverables and timelines.
• Collaborate with senior leadership, IT, clinical, compliance, and operations teams to define project goals, identify dependencies, and ensure seamless integration across departments.
• Drive execution using structured project management methodologies, ensuring adherence to best practices, industry standards, and performance benchmarks.
• Anticipate potential risks and proactively implement corrective actions to prevent delays or compliance gaps, maintaining full regulatory alignment with PBM and Medicare requirements.
• Provide clear and continuous communication to all stakeholders, including progress reports, executive summaries, and post-project assessments that identify lessons learned and improvement opportunities.
• Stay informed on PBM industry trends, healthcare innovations, and changes in Medicare regulations to anticipate organizational needs and support long-term strategic planning.
• Promote operational excellence, collaboration, and accountability across multi-disciplinary teams.

Qualifications
• Bachelor’s degree in Healthcare Management, Pharmacy, Business Administration, or a related field; Master’s degree or PMP certification preferred.
• At least 5 years of experience managing projects in healthcare, PBM, or similar regulated environments.
• In-depth understanding of PBM processes, compliance frameworks, and Medicare operations, including claims, audits, or reporting standards.
• Proven ability to manage multiple concurrent projects under tight deadlines while maintaining high-quality results.
• Strong leadership and organizational capabilities, with experience leading cross-functional teams in fast-paced environments.
• Excellent communication, stakeholder engagement, and presentation skills in both English and Spanish.
• Proficiency in project management tools and reporting platforms such as MS Project, Jira, Asana, Power BI, and Microsoft Excel.
• Demonstrated analytical mindset and problem-solving approach, with a focus on driving measurable outcomes and continuous improvement.

Professional Experience
• Minimum of 3 years working directly in PBM or managed care environments, managing large-scale initiatives with regulatory and operational impact.
• Experience in product management, process optimization, technology implementation, or compliance-driven transformations within the healthcare sector preferred.
• Familiarity with Medicare standards, managed care contracts, and PBM financial models.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.