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Senior PBM Product Manager

Remote: 
Full Remote
Contract: 
Experience: 
Expert & Leadership (>10 years)
Work from: 

Offer summary

Qualifications:

Bachelor’s Degree required; MBA preferred., 8+ years in product management, 5+ in a senior role., 5+ years in pharmacy benefits management or healthcare., Strong financial analysis and decision-making skills., Proficiency in tools like Salesforce and Microsoft Excel..

Key responsabilities:

  • Lead development and management of clinical programs.
  • Influence senior stakeholders on product roadmaps.
  • Ensure compliance with Medicare requirements.
  • Manage market research and define product identity.
  • Develop market-facing collateral alongside marketing team.
Maxor National Pharmacy Services, LLC logo
Maxor National Pharmacy Services, LLC
501 - 1000 Employees
See more Maxor National Pharmacy Services, LLC offers

Job description

Overview:

The Senior Product Manager- Clinical Programs is accountable for the leadership and execution of the development, launch, and ongoing management of clinical programs. This individual will drive strategic initiatives, create innovative solutions, and be responsible for achieving measurable improvements in member health outcomes, quality of care, and cost savings for both members and clients. The role demands a results-driven leader with a strategic mindset to ensure customer growth, deliver savings, and create a differentiated experience across the product lifecycle. Medicare experience highly desired.

Our Company

Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain. Maxor has a proud heritage of growth and innovation earned over the decades. Amarillo, Texas is the legacy headquarters for Maxor, but our talent base is national. We operate pharmacies and other business operation sites across the United States with more than 1200 employees working from 42 states.

 

Why Maxor?

Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies.  At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities.  With a workforce of 1,000+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.

 

Responsibilities:
  • Own the strategic development, implementation, and management of clinical programs, ensuring they align with business goals and produce measurable results in both the short and long term.
  • Lead and influence senior stakeholders, including the Director of Product Management, to shape the product and service roadmap, driving initiatives forward with clear accountability.
  • Serve as a decision-maker and authority on product strategy, competitive positioning, client needs, and emerging trends in PBM and healthcare markets.
  • Identify and seize opportunities for product enhancements by leveraging industry expertise, proactively addressing client needs, and ensuring compliance with Medicare requirements.
  • Oversee cross-functional collaboration to drive timely execution of comprehensive project plans, ensuring seamless product rollouts and successful post-launch support.
  • Direct market research initiatives to maintain a competitive edge, identify market opportunities, and define product identity, with a focus on Medicare-specific requirements.
  • Provide strategic leadership on product positioning, packaging, and pricing to ensure competitiveness, profitability, and compliance with Medicare regulations.
  • Lead the development of market-facing collateral in partnership with marketing, ensuring the product portfolio is well-positioned and effectively communicated across all stages of its lifecycle.
  • Advise and guide clinical strategy initiatives to enhance operational efficiency, maximize product adoption, and ensure market competitiveness.
  • Drive internal and external stakeholders through the complexities of clinical program implementation, ensuring a high level of accountability, especially regarding Medicare product offerings.
  • Promptly report any allegations of impropriety to the Compliance Department.
  • Comply with Maxor’s Ethical Business Conduct policy and Medicare/Medicaid program requirements.
  • Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
Qualifications:
  • Proven accountability for leading product launches, managing the product lifecycle from development through to strategic pricing and market success.
  • Extensive expertise in PBM claims adjudication, benefit setup, pharmacy operations, and vendor management, ensuring operational excellence and product success.
  • Strong financial acumen, with the ability to conduct financial analysis and make data-driven decisions to optimize product performance.
  • Ability to build and enforce alignment and accountability across cross-functional teams, with the proven ability to lead stakeholders at all organizational levels.
  • Proficiency in relevant tools (Microsoft PowerPoint, Word, Excel, Visio, Outlook, Salesforce, Smartsheet, Confluence, and Jira) to ensure effective management and delivery of initiatives.
  • Demonstrated client-facing experience, with a track record of leading discussions in finalist presentations and driving strategic outcomes in client meetings.
  • Experience in contract review and negotiation, with proven success in securing favorable terms that drive business growth and client satisfaction.
  • Ability to thrive in a fast-paced environment, prioritizing multiple projects and maintaining accountability within a matrix organization.

Knowledge, Skills, and Abilities:

 

  • Strong leadership and accountability skills, with the ability to mentor junior team members and drive results without direct authority.
  • Exceptional project management and organizational skills, with the capacity to manage multiple projects and deadlines efficiently.
  • Proven expertise in product billing, compensation modeling, and strategic pricing, with a focus on healthcare and clinical programs, particularly in Medicare.
  • Expert knowledge of market research, competitive analysis, and product positioning, ensuring products are well-positioned in the market to meet business goals.
  • Comprehensive experience in vendor evaluation, selection, and management, ensuring seamless execution of product launches and ongoing product performance.
  • Strong client relationship management skills, with a focus on delivering value and maintaining compliance with industry regulations, especially within Medicare.

Education:                           

  • Bachelor’s Degree required. MBA or other advanced degree preferred.                                                                                                                                                                                                                                      

Experience:                                           

  • 8+ years of experiencein product management, with at least 5 years in a senior role, is strongly preferred.
  • 5+ years of experiencein pharmacy benefits management, healthcare, or the pharmacy industry is strongly preferred.
  • 3+ years of project management experiencewith knowledge of pharmacy benefits management is strongly preferred.
  • Experience in Medicare and Medicaid program management is highly desired.

WE OFFER

At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.  

We offer highly competitive compensation and comprehensive health benefits including:

  • Comprehensive mental health and wellbeing resources
  • Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
  • Company-paid basic life/AD&D, short-term and long-term disability insurance
  • Rx, dental, vision, other voluntary benefits, and FSA
  • Employer-matched 401k Plan
  • Industry-leading PTO plan
  • And more!

Apply today at: https://www.maxor.com/careers/     

Maxor is an EOE, including disability/vets

                                                               

Required profile

Experience

Level of experience: Expert & Leadership (>10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Leadership
  • Strategic Thinking
  • Verbal Communication Skills
  • Problem Solving
  • Organizational Skills

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