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Job details

Program Manager

Capital Rx is a public benefit health technology company and full-service PBM delivering claims administration and cloud-native enterprise solutions to payers and government programs. The MPPP Program Manager will own end-to-end management of the Medicare Prescription Payment Plan program, interpreting regulatory guidance, coordinating cross-functional teams, ensuring compliance with CMS requirements, and driving operational improvements.

Skills

  • Deep knowledge of Medicare Part D and MPPP operational/regulatory requirements
  • Experience supporting PBM and/or health plan Medicare operations
  • Strong project and process management using toolsets like Jira, Confluence, Scribe, Lucid
  • Advanced Excel skills including pivot tables and formulas (VLOOKUP, IF, LEFT, etc.)
  • Ability to manage multiple complex projects and shifting priorities
  • Excellent written and verbal communication and stakeholder management

Responsibilities

  • Collaborate with implementation and project managers to onboard MPPP clients in alignment with contracts and CMS guidance
  • Interpret regulatory and sub-regulatory guidance and translate into operational tasks, workplans, and process changes
  • Develop and maintain MPPP documentation, policies, procedures, reporting, job aids, workflows, and project plans
  • Serve as primary internal and external point of contact for MPPP operations
  • Monitor operations, lead root cause analyses for errors, and implement corrective actions
  • Coordinate cross-functional teams to support execution and oversight of MPPP activities
  • Identify opportunities for process and capability improvements to support compliance and audit readiness
  • Ensure adherence to the Capital Rx Code of Conduct and report noncompliance as required

Education

  • Bachelor's degree in a related field preferred
  • Equivalent combination of relevant experience in lieu of formal degree accepted

Benefits

  • Competitive salary range of $100,000–$125,000 USD
  • Remote work model
  • Supportive, mission-driven company culture with emphasis on compliance and quality
  • Equal employment opportunity employer committed to diversity
To read the complete job description, please click on the ‘Apply’ button
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CEO of Capital Rx
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AJ Loiacono
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Average salary estimate

$112500 / YEARLY (est.)
min
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$100000K
$125000K

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Capital Rx is redefining the way prescriptions are priced and administered in the U.S. Through its Clearinghouse Model℠, Capital Rx unlocks the pharmacy supply chain and reduces prescription costs for employer groups. By establishing a competitive...

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TEAM SIZE
SALARY RANGE
$100,000/yr - $125,000/yr
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
September 18, 2025
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