Manager, Pharmacy Experience and Access

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values\-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next\-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. **The Job** This position will play a central role in designing, implementing, and overseeing the Part D program, including coverage determinations and appeals for a senior\-focused Medicare Advantage Plan. The Manager will be responsible for ensuring CMS compliance, operational excellence, and enhanced member experience. The Manager will provide leadership, strategic direction, and oversight to the team while ensuring effective management of the contracted pharmacy benefit manager (PBM), including PBM performance, formulary operations, utilization management processes, and ongoing compliance requirements. **You Will** Lead and support CMS Part D program audits and data validation audits; manage audit universe files; including HPMS reporting requirements and ensure ongoing audit readines