Sr. Project Manager - 100% Remote

Sr Project Manager

Genesis10 is currently seeking a Sr Project Manager for a 10-month contract role with our healthcare client located in Eden Prairie, MN. 100% Remote. Compensation : $60.00 - 65.00 per hour, depending on skill and experience level. Summary : Agile project delivery self-starter able to lead amidst ambiguity executive presence. Project is for "Client's" GPI Reclassification Process Improvement. GPI stands for Generic Product Identifier. The project is the process of reclassifying a drug's therapeutic category or characteristics within the Generic Product Identifier (GPI) system - a change to the drug's 14-character code, which is usually driven by refinements in drug classification, changes to dosage forms, strengths, or therapeutic categories.

Below are more details on impacts this could have :

• For PBMs, these changes have significant operational and financial implications :
• Formulary Management : Reclassification can cause a drug to move between different formulary tiers (e.g., from generic to specialty), which affects how it is covered by a patient's insurance plan and what the patient's out-of-pocket costs will be.
• Pricing and Reimbursement : Drug classification is a key factor in determining pricing and reimbursement rates. Misclassification can lead to incorrect pricing, potentially increasing costs for employers or health plans.
• Clinical Management Rules : The GPI is used to articulate clinical management rules (e.g., prior authorization, step therapy). A reclassification means these rules need to be updated to ensure proper utilization management.
• Data Analysis : PBMs use GPIs to analyze population health data, track costs, and evaluate patient trends based on medication therapies. Reclassification requires system updates to ensure data accuracy across all analytical platforms.

GPI changes are typically released by data providers like Medi-Span on a planned, periodic basis (e.g., twice a year) to allow PBMs and other users to plan for the updates and implement necessary system changes.

Qualifications :

Preferred Qualifications :

If you have the qualifications described and are interested in this exciting opportunity, apply today! Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.

For contract roles, Genesis10 offers the benefits listed below. If this is a permanent placement opportunity, our recruiter can discuss the unique benefits offered by that particular client with you.

For multiple years, Genesis10 has been recognized as a top staffing firm in the U.S., as well as a best company for work-life balance, career growth, diversity, and leadership, among other distinctions.

To learn more or explore our available career opportunities, please visit us at www.genesis10.com. Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.