Full Job Description
Deputy Program Manager
Candidate must have or be willing to obtain a Public Trust Clearance
Key Tasks:
• Serve as Deputy Program Manager supporting the PM in day-to-day oversight of all Part D Transaction Facilitator operations, including E1 eligibility queries, FIR reporting, TrOOP balance transfers, and COB transaction routing between pharmacies, Part D plan sponsors, and other payers
• Oversee execution of the PWS and QASP performance objectives, ensuring the transaction facilitation platform meets CMS-mandated Acceptable Quality Levels for E1 daily reporting, FIR reporting, and BAA execution
• Manage Business Associate Agreement (BAA) execution with Part D plan sponsors
• Serve as a key point of contact with the CMS COR/Project Officer, supporting bi-weekly management reviews, MA & Part D system workgroups, status conference calls, and preparation of Monthly Status Reports
• Help maintain the Project Management Plan (PMP), project schedule, and deliverables
• Support Transition-In planning and execution, including collaboration with the incumbent contractor to transfer tools, data, documentation, and institutional knowledge
Required Skills
Proven experience:
• Managing Medicare Part D Coordination of Benefits (COB) operations, including TrOOP balance transfers, E1 eligibility transactions, FIR reporting, and BIN/PCN routing
• Serving in a Program Manager, Deputy Program Manager, or senior systems/product management role on a CMS Part D or Medicare COB-related contract
• Working directly with a COR/Project Officer on federal contract deliverables, status reporting, and QASP/PWS performance management
Desired Skills (Pluses)
Proven experience with:
• NCPDP standard pharmacy transactions (E1 and related transaction sets)
• Managing a 24/7 real-time online transaction switching network with connectivity to pharmacies, payers, and other switches
• Experience with Part D transaction facilitation, Medicare Part D eligibility system, or similar CMS switch/clearinghouse contract
• PMP certification or equivalent formal program/project management training
Required Education / Certifications
• Bachelor's Degree preferred (Health IT, Information Systems, Business, or related field)
• PMP certification preferred
The proposed salary range for this position in Maryland is 140,000 to 250,000. Final salary will be determined based on various factors. Our comprehensive benefit offerings include healthcare, retirement plan, paid disability and life insurance programs, employee assistance program, paid and unpaid leave programs, education assistance, and wellness initiatives.
