SCAN · 4 hours ago
Pharmacy Product Manager
United States
Full-time
Remote
Mid, Senior Level
$106K/yr - $154K/yr
3+ years expSCAN is a nonprofit health organization dedicated to improving care for older adults. The Pharmacy Product Manager will oversee the development and management of pharmacy products, ensuring regulatory compliance and operational excellence while collaborating with internal and external teams to enhance member experience.
Elder CareHealth CareHome Health CareMedical
Responsibilities
Lead the development of pharmacy products, including service area expansion and submission to CMS, ensuring alignment with regulatory requirements, market needs, and organizational objectives
Collaborate with internal & external stakeholders including pharmacists, PBMs, developers, compliance teams, and marketing to gather requirements, prioritize features, and ensure successful implementation of pharmacy initiatives
Collaborate with data analytics teams to conduct prescription benefit market analysis, evaluate competitors offerings per each service area and identify industry trends to generate product enhancements
Monitor and analyze product performance, including utilization trends, financial impact and member experience, identifying opportunities for improvement
Support operational readiness for Annual Enrollment Period (AEP) and product launches, including production of the pharmacy-related customized communication and marketing materials. Perform AEP staff training and cross-functional alignment. Support RFP process, including evaluation criteria, to optimize pharmacy benefit operations, financial performance, and member experience. Contribute to the development and maintenance of policies, procedures, and training materials. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies
Serve as a subject matter expert on pharmacy products and benefits, supporting cross-functional teams during CMS and state regulatory audits, including CMS Part C and D Data Validation audits. Prepare presentations and updates to leadership regarding product performance, upcoming initiatives, and regulatory changes
Ensure products meet HIPAA, FDA, CMS, and other pharmacy-related regulatory standards. Maintain current knowledge of Medicare Part D regulations by participating in CMS calls and reading released guidance and implementing changes to maintain compliance
Serve as the subject matter expert on the Inflation Reduction Act’s Medicare Part D provisions, CMMI initiatives and Medicare Prescription Payment Plan. Foster strong relationships with PBM partners to align on product implementation, service delivery, and continuous improvement initiatives
Participate in the annual BID cycle development process
We seek Rebels who are curious about AI and its power to transform how we operate and serve our members
Actively support the achievement of SCAN’s Vision and Goals
Other duties as assigned
Qualification
Required
3–5 years of experience in pharmacy benefits management, managed care pharmacy, or product management within healthcare
Bachelor's Degree or equivalent experience required
Expertise with Medicare Part D and/or Medicaid pharmacy programs
Experience working with PBMs and cross-functional teams in a health plan or pharmacy operations setting
Proven project management experience applying industry methodologies and practices
Ability to manage and adapt to a significant change
Strong leadership skills, including excellent interpersonal, communications, problem-solving and negotiating skills
Strong analytical and problem-solving skills. Strong analytical and critical thinking skills, required
Ability to manage multiple projects simultaneously with strong attention to detail
Knowledge of CMS Part D regulations and pharmacy benefit design
Ability to work cross-functionally and collaboratively across the organization. Ability to think strategically and act tactically
Technologically savvy and able to utilize information systems effectively. MS Office (Word, Excel, PowerPoint, Access), Visio, and SQL
Strong interpersonal skills, including excellent written and verbal communication skills. Strong organizational skills
Ability to appropriately maintain confidentiality
Preferred
PharmD, MBA, Graduate or related advanced degree preferred
Benefits
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement
Company
SCAN
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.
1001-5000 employees
H1B Sponsorship
SCAN has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (3)
2023 (6)
2022 (6)
2021 (5)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
Sachin H. Jain, MD, MBA
President and CEO, Board Director
Recent News
2025-12-26
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