Medicaid Program Manager Jobs in Reston, VA (NOW HIRING)

Job Number: R0243472
Pharmacy Program Manager

The Opportunity:

We are looking for an experienced program manager with over healthcare experience, specializing in pharmacy within Medicare Part B or Medicare Part D programs. Serves as a key leader overseeing an integrated team of payment policy specialists, clinical reviewers, statisticians, and data analysts to achieve CMS goals and objectives related to these programs. This role encompasses directing policy analysis, validating advanced analyses, and supervising clinical reviews. Leveraging deep pharmacy knowledge and extensive leadership experience, the Program Manager plays a critical role in identifying and evaluating program enhancements and innovative solutions to improve the Medicare Program.

You Have:

• 15+ years of experience in pharmacy roles

• 7+ years of experience in pharmacy roles in Medicare Part B and D programs

• Experience working with CMS data or health claims data, including Medicare and Medicaid, in the Independent Dispute Resolution (IDR) environment

• Experience facilitating large meetings with both internal and external audiences, and managing integrated teams, including subcontractors, with full oversight of contract budgets and delivery risks

• Experience with the federal procurement and proposal process

• Experience identifying, reporting, and mitigating contract, budget, or delivery risks proactively

• Experience collaborating with government payer programs, including Centers for Medicare & Medicaid Services (CMS)

• Knowledge of Medicare Advantage encounter data and Prescription Drug Event (PDE) data

• Ability to deliver technical recommendations to a wide range of stakeholders using a variety of delivery techniques

• Bachelor's degree in Pharmacy

Nice If You Have:

• Experience with pharmaceutical benefit management organizations.

• Experience in presenting technical reports and findings to Senior Level leaders, and working with stakeholder especially relating to pharmacists, clinicians, suppliers, and regulatory bodies

• Experience as a clinical pharmacist

• Knowledge of healthcare technology systems related to pharmacy, such as electronic health records (EHR), pharmacy information systems, or medication administration software

• Knowledge of analytic programming languages including R, Python, SAS, or SQL

• Knowledge of pharmaceutical care processes and pharmacy regulatory environments

• Ability to provide published research in peer-reviewed journals

• Ability to analyze pharmacy data to drive evidence-based decisions and quality improvement initiatives

• Doctorate degree in Economics, Statistics, Pharmacy or related field

• Project Management Professional (PMP), Program Management Professional (PgMP), or Pharmacy Certification

Compensation

At Booz Allen, we celebrate your contributions, provide you with opportunities and choices, and support your total well-being. Our offerings include health, life, disability, financial, and retirement benefits, as well as paid leave, professional development, tuition assistance, work-life programs, and dependent care. Our recognition awards program acknowledges employees for exceptional performance and superior demonstration of our values. Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible to participate in Booz Allen's benefit programs. Individuals that do not meet the threshold are only eligible for select offerings, not inclusive of health benefits. We encourage you to learn more about our total benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.

Salary at Booz Allen is determined by various factors, including but not limited to location, the individual's particular combination of education, knowledge, skills, competencies, and experience, as well as contract-specific affordability and organizational requirements. The projected compensation range for this position is $99,000.00 to $225,000.00 (annualized USD). The estimate displayed represents the typical salary range for this position and is just one component of Booz Allen's total compensation package for employees. This posting will close within 90 days from the Posting Date.

Identity Statement

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during interviews and assessments. We reserve the right to take your picture to verify your identity and prevent fraud.

Candidate AI Usage Policy

AI is a part of our daily work at Booz Allen, and we are committed to the responsible and ethical use of AI tools. However, we want to ensure a fair candidate process based on your own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) or other tools to assist with responses during interviews (whether in-person or virtual) is prohibited unless permission is explicitly provided.

Work Model
Our people-first culture prioritizes the benefits of collaboration, whether it occurs in person or virtually. To support engagement and effective communication, employees working virtually are generally expected to have their cameras on during meetings.

• Remote: If this position is listed as remote, there may still be occasions when you are required to work in person at a Booz Allen or customer facility.

• Hybrid: If this position is listed as hybrid, you will be expected to work from a Booz Allen facility frequently, in alignment with leadership expectations and the needs of the role. You may also be required to work from or visit a customer facility.

• Onsite: If this position is listed as onsite, work will primarily be performed at a Booz Allen office or customer facility, where employees will collaborate directly with colleagues and customers as required by the role.

Commitment to Non-Discrimination

All qualified applicants will receive consideration for employment without regard to disability, status as a protected veteran or any other status protected by applicable federal, state, local, or international law.