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Clinical Domain Project Manager (PBM)

Briljent
CompanyBriljent
CategoryHealthcare
LocationPhoenix
RemoteRemote
EmploymentFull-time
LevelManager
SalaryNot stated by the employer
Posted5 Aug 2026
Last verified8 Aug 2026
SourceEmployer ATS (workable)
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Description
The Clinical Domain Project Manager plans, coordinates, and delivers pharmacy clinical initiatives within a Medicaid, pharmacy benefit management (PBM), and healthcare payer environment. This role serves as the primary liaison between business stakeholders, clinical pharmacists, operational teams, technology teams, and external partners to ensure successful implementation of pharmacy clinical solutions and regulatory requirements. Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and pharmacy system implementations, with accountability for project governance, schedule management, stakeholder communications, risk management, and delivery of business outcomes. This is a fully remote, full time engagement with an anticipated duration of ten months and an immediate start. No travel is required, and a background check must be successfully completed prior to onboarding. Must be eligible to work in the United States. No sponsorships are available at this time. Essential Duties: Project Leadership and Delivery: Leads pharmacy clinical projects through initiation, planning, execution, monitoring, and closure Develops and maintains integrated project plans, schedules, milestones, dependencies, and deliverables Facilitates requirements gathering, design reviews, solution validation, testing, and implementation activities Coordinates cross-functional teams across clinical, operational, technical, and business workstreams Manages project budgets, scope, schedule, risks, issues, assumptions, and dependencies Supports implementation and enhancement of drug coverage administration, Preferred Drug List (PDL) management, prior authorization (PA) programs, electronic prior authorization (ePA), and drug utilization review (DUR) Ensures clinical program requirements are accurately translated into system and operational solutions Stakeholder Engagement: Serves as primary point of contact for client, clinical, and internal project stakeholders Facilitates decision-making discussions and executive governance meetings Communicates project status, risks, issues, and mitigation strategies to leadership Builds collaborative relationships with pharmacy directors, clinical pharmacists, business analysts, product teams, and external vendors Compliance and Regulatory Oversight: Ensures project deliverables comply with federal and state Medicaid requirements Supports readiness for audits, regulatory reviews, and contractual reporting obligations Coordinates implementation efforts involving the Centers for Medicare and Medicaid Services (CMS), Medicaid agencies, pharmacy benefit managers (PBMs), and healthcare partners as applicable Maintains traceability between business requirements, design decisions, testing results, and implemented solutions Vendor and Partner Coordination: Coordinates activities with PBMs, pharmacy system vendors, clinical review organizations, and state stakeholders Manages integration and dependency tracking across external partners Facilitates issue resolution and escalation management to meet project objectives Implementation and Transition: Leads implementation readiness reviews and go-live planning activities Coordinates training, deployment, cutover, and stabilization efforts Develops implementation plans, communication strategies, and transition-to-operations procedures Supports continuous improvement initiatives and lessons-learned activities