Top 43 Program manager Jobs in Juncos, Pr

VP De Programas Clínicos Y De Calidad En Farmacia
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Senior level
Especialista En Alianza Para Medicos Especializados
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Mid-level
- Employee discount
CLINICAL PROGRAMS VICEPRESIDENT - PHARMACY
TPIS —San Juan, PR
- $150,000 - $160,000 a year
- Spanish
- English
- Supervising experience
Quick Apply
Pest Control Technician
Mentor Technical Group —Carolina, PR
- Full-time
- Mid-level
- High school diploma or GED
- Ability to lift 50 pounds
- Opportunities for advancement
6d
Fitness Trainer (DRD License)
Planet Fitness —Fajardo, PR
- Full-time
- CPR Certification
- Ability to lift 75 pounds
- Communication skills
Quick Apply
Manager of Physicial Therapy
Mountain View Regional —United States
- Full-time
- Hospital
- Physical & Rehabilitation Medicine
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
DMS Manager
University of California San Francisco —United States
- Full-time
- Management
- HIPAA
- Analysis skills
- Disability insurance
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance

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Especialista En Alianza Para Medicos Especializados
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
Performs analysis of clinical strategies for specialty medications such as pre-authorizations, quantity limits, step therapy, cost, and prescribing trends,…

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Program Manager
Central Ohio Transit Authority —Columbus, OH
Bachelor's degree in business administration, information technology, computer science, or related field and six (6) years of experience managing a wide range…
$79,788.80 - $93,870.40 a year
Quick Apply
14d
Product Manager
Virtusa —Columbus, OH
Key Job Details Primary Location Columbus, Ohio, United States Job Type Experienced Required Experience 7 Skill PMT-PROGRAM MANAGEMENT-CORE. Travel No Date…
$94,000 - $119,000 a year

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program manager jobs near juncos, pr

VP De Programas Clínicos Y De Calidad En Farmacia

MCS HEALTHCARE HOLDINGS, LLC -
San Juan, PR

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Job Details

Qualifications

Registered Pharmacist (RPh)
Spanish
Staff supervision
Team supervision
CMS
English
Customer inquiry handling
Licensed Pharmacist (State-Specific)
CMS regulatory compliance
Medicare regulations
Clinical performance metrics
Licensed Pharmacist
Medicaid regulations
Medicaid
State and federal pharmacy laws
Clinical data analysis
Healthcare performance metrics analysis

Full Job Description

VP De Programas Clínicos Y De Calidad En Farmacia

Regular

Exempt

GENERAL DESCRIPTION:

Responsible for leading the strategic design, execution, and oversight of all clinical and quality programs within the Pharmacy Department. These programs include Medication Therapy Management (MTM), Drug Management Programs (DMP), CMS STARS initiatives, pharmacy utilization strategies, academic detailing, member education programs, and the regulatory handling of grievances and appeals. The VP ensures that the pharmacy’s clinical strategy is fully aligned with regulatory requirements, population health objectives, and broader organizational goals. Additionally, this role oversees the Pharmacy Account Management function, fosters strong cross-functional collaboration, manages external stakeholder relationships, and serves as the enterprise-wide clinical pharmacy subject matter expert.

ESSENTIAL FUNCTIONS:

Develop and lead the execution of comprehensive work plans for Clinical Services, Pharmacy Utilization, and Account Management, ensuring compliance with federal and local regulations and standards applicable.
Lead the design, implementation, and continuous improvement of clinical pharmacy programs, aligning them with organizational goals, healthcare quality standards, and member needs.
Oversee all delegated vendor functions related to (Medication Therapy Management Program) MTMP, Integrated Diabetes Program, Specialty Pharmacy Interventions, Designated Medical/Prescribing Practitioner (DMP/DPP), and STARS measures, ensuring full compliance with regulatory expectations.
Lead the development and execution of comprehensive clinical and quality pharmacy programs in alignment with federal and state regulatory requirements, organizational goals, and best practices in managed care pharmacy. Ensure that all program components, including those delegated to external vendors, comply with the Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), and other applicable regulatory bodies.
Serve as the clinical pharmacy liaison with Clinical Affairs, ensuring seamless integration of pharmacy services with broader clinical initiatives targeting member outcomes and healthcare cost management.
Oversee the Pharmacy Account Management team, ensuring strong client support, operational efficiency, timely resolution of inquiries, and alignment with strategic business needs across all lines of business.
Ensure all pharmacy department communications, including member-facing materials and regulatory documents, are accurate, timely, and compliant with required formats and corporate brand standards. Oversee the review and approval process to maintain regulatory readiness.
Represent the pharmacy department in client meetings, regulatory engagements, and internal executive forums. Deliver strategic presentations and serve as the pharmacy clinical lead in external stakeholder discussions across all lines of business.
Contribute to the development of the departmental budget. Monitor expenditures and ensure that all clinical and quality initiatives are delivered within budget while maintaining high operational standards.
Supervises, monitors, trains, evaluates, and corrects personnel, among others to comply with his/her role as a supervisor, to ensure that his/her personnel fulfill their work plan and comply with their essential functions, and that they behave following the policies, standards, norms, and procedures of the Company.
Must comply fully and consistently with all company policies and procedures, with local and federal laws, as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.

MINIMUM QUALIFICATIONS:

Education and Experience: Doctor of Pharmacy (PharmD) or equivalent degree required. Minimum of nine (9) years of progressive leadership experience in managed care pharmacy, clinical program development, or pharmacy quality management, with demonstrated success in applying quality performance metrics. At least four (4) years of direct supervisory experience required.

Certifications / Licenses: A valid License and Registration of a Pharmacist & Association of Pharmacists of Puerto Rico is required. Other: In-depth knowledge of CMS, NCQA, HEDIS, STARS measures, and state/federal healthcare regulations. Proficiency in pharmacy benefit systems, clinical data analytics, and population health strategies.

Languages:

Spanish – Advanced (comprehensive, writing, and verbal)

English – Advanced (comprehensive, writing, and verbal)

“We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.”

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Refine Your Search

program manager jobs in juncos, pr

VP De Programas Clínicos Y De Calidad En Farmacia

Especialista En Alianza Para Medicos Especializados

CLINICAL PROGRAMS VICEPRESIDENT - PHARMACY

Pest Control Technician

Fitness Trainer (DRD License)

Manager of Physicial Therapy

DMS Manager

Family Medicine Medical Director Utilization Management

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