The NC State Health Plan is hiring a Sr. Manager of Pharmacy Benefits to manage Pharmacy Benefits Manager (PBM) pharmacy operations, the Employer Group Waiver Plans (EGWP) program, and EGWP enrollment. This is a full-time position (40 hours per week) with State Benefits, including health insurance, paid vacation, paid sick time, paid holidays, as well as retirement.
Recruitment range: $95,000 - $120,000
This position has been designated as Exempt in accordance with North Carolina General Statute § 126-5 (c1)(c23) (24).
About the State Health Plan
The North Carolina State Health Plan for Teachers and State Employees, a division of the Department of State Treasurer, provides health care coverage to more than 727,000 teachers and local school personnel, state employees, retirees, current and former lawmakers, state university and community college faculty and staff, and their dependents.
The Plan Integration (PI) team provides operational oversight for the Plan’s contract administration with the third-party administrator, pharmacy benefit manager, enrollment and eligibility, billing, and other related services vendors.
Responsibilities
The Sr. Manager, Pharmacy Benefits plays a critical role in ensuring that the State Health Plan’s mission, vision, and core values are reflected across all its products for the benefit of members and key stakeholders. Duties include, but are not limited to:
- Program leadership and subject matter expertise (SME) for pharmacy benefits and PBM operations which includes oversight of the PBM contract and relationship.
- SME for Medicare Part D and will develop, implement, and manage operational processes to ensure maximum receipt of retiree drug subsidy.
- Develop project and process documentation including, but not limited to, administrative decision memos (ADM), process flows, and business requirements documents (BRD) required to implement new products and services with Plan vendors.
- Collaborate with other program managers, project staff, and business owners to ensure business requirements and workflows are documented appropriately.
- Some travel is required - 5%.
Eligible to telework one day per week once fully oriented.
In furtherance of the Department of State Treasurer's existing ethics and transparency programs, this position is subject to the ethics and conflict of interest requirements of the Department of State Treasurer Supplemental Ethics Policy (Tier 2 Ethics Policy).
Minimum Requirements
Qualified applicants must possess, and application must clearly reflect work experience that demonstrates the following:
- Must have health plan operations and Medicare health benefit enrollment experience.
- Strong program and project management skills with the ability to track and work on multiple projects simultaneously.
Management Preference
- 5+ years of progressive experience in program and/or technical project management with a heavy emphasis on PBM operations, Part D administration, and pharmacy benefits.
- Project Management Professional (PMP) Certification is a plus!
Bachelor's degree and direct health plan operations and Medicare enrollment experience.
* PLEASE SUBMIT YOUR APPLICATION ON-LINE USING THIS WEBSITE *
This position is subject to a criminal history background check through CastleBranch. In addition, one or more of the following may also be reviewed, depending on the nature and requirements of the position: employment history, professional references, credit history, and educational verification (i.e., degree, license, or official transcript). Applicants will be required to pass the background check to the satisfaction of the North Carolina Department of State Treasurer. All offers of employment are conditional until the satisfactory completion of the background check.
This office uses the Merit-Based Recruitment and Selection Plan to fill positions with highly qualified individuals. All applicants must complete and submit a State application for employment using the NEOGOV Online Job Application System (OSHR - Work for NC) for the State of North Carolina. To receive credit for your work history and credentials, you must list the information on the online application form. Any information omitted from the application cannot be considered in screening for qualifying credit. Attached or incorporated resumes (including Text resumes on application form) WILL NOT be used for screening for qualifying credit. Please make sure you complete the application in full.
The State of North Carolina, and the Department of State Treasurer, is an Equal Opportunity Employer:
- Applicants requesting and receiving an accommodation under the Americans with Disabilities Act (ADA) are eligible to submit paper applications via mail or by fax reference the contact information below. All applicants should indicate the position number and job title in the section "Jobs Applied For".
- Applicants seeking Veteran's Preference must attach a DD 214 Form, Certificate of Release or Discharge from Active Duty along with your application.
- Applicants seeking National Guard Preference:
- North Carolina Army National Guard
- North Carolina Air National Guard
- Must attach a copy of the NGB 23A (RPAS) or a copy of the DD256 or NGB 22 along with your application.
"See Resume" or "See Attachment" will NOT be accepted and will be considered an incomplete application and will not be processed. Other attachments will also be accepted, but not used in screening for qualifying credit.
Please note, foreign degrees require an official evaluation for U.S. equivalency, and must be submitted to Human Resources for verification. There are several organizations that perform this specialized service; feel free to use any service of your choosing.
- International Education Research Foundation - (310) 258-9451 or www.ierf.org
- World Education Services Inc. - (212) 966-6311 or www.wes.org
Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account and click "Application Status". It is not necessary to contact the Human Resources Office to check the status of an application.
If you are having technical issues submitting your application, please call the NeoGov Help Line at 855-524-5627. If there are any questions about this posting, other than your application status, please email Department of State Treasurer at HR@nctreasurer.com.
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