RESPONSIBILITIES include the following. Other duties and special projects may be assigned. Levels of Authority and Decision Making are indicated as follows:
Job Summary:
The Pharma Program Manager is responsible for the end-to-end operational execution of manufacturer-sponsored specialty pharmacy programs. This role ensures internal readiness, cross-functional alignment, and consistent delivery of high-touch patient care, in accordance with contract requirements and program expectations. The Program Manager acts as the internal owner of assigned therapeutic programs, translating pharma requirements into executable workflows.
Supervisory Responsibilities:
Duties/Responsibilities:
Program Implementation & Workflow Management
- Lead the onboarding and implementation of manufacturer-sponsored programs across therapeutic areas (e.g., oncology, rare disease, immunology).
- Translate contractual and operational requirements into executable SOPs.
- Design, document, and oversee program-specific workflows for pharmacy, nursing, prior auth, patient services, and shipping teams.
Performance Management
- Monitor program performance using key metrics: time to therapy, turnaround time, adherence, persistency, refill rates, and service level agreements (SLAs).
- Proactively identify risks or service gaps; implement corrective actions as needed.
- Support internal QBR/MBR preparations with pharma account teams by supplying accurate program data and insights.
Cross-Functional Coordination
- Serve as the primary internal liaison between patient services, pharmacy operations, clinical teams, IT, data, compliance, and customer service.
- Ensure all departments are trained and aligned with program-specific workflows and service standards.
Documentation & Compliance
- Maintain accurate documentation for all program requirements, workflow changes, SOPs, and version controls.
- Ensure compliance with URAC, ACHC, and manufacturer-specific auditing protocols.
Data Management & Reporting Support
- Coordinate delivery of program data and reporting deliverables to the pharma partner, ensuring accuracy and timeliness.
- Collaborate with analytics teams to interpret trends, identify operational improvements, and inform program enhancements.
Drug Access & Operational Readiness
- Support launch readiness for limited distribution drugs (LDDs), new indications, or label expansions.
- Ensure inventory management, prior authorization support, and reimbursement processes are aligned with manufacturer expectations.
Required Skills/Abilities:
- Strong understanding of specialty pharmacy services, workflows, and high-touch care models.
- Excellent project management and problem-solving skills.
- Ability to communicate effectively across clinical, operational, and technical teams.
- Proficiency in MS Office, workflow tools, and data reporting platforms (e.g., Power BI, Excel, CRM systems).
- Knowledge of therapeutic areas such as oncology, rare disease, HIV, or biosimilars is a plus.
Key Performance Indicators (KPIs):
- % of patients onboarded within SLA
- Time to therapy initiation
- Refill rate and adherence metrics
- Manufacturer satisfaction score (internal or external)
- Successful audits with no major findings
