[Remote] Program Manager, Solution Innovation
Note: The job is a remote job and is open to candidates in USA. Cencora is a healthcare company focused on creating healthier futures for people and animals. The Program Manager, Solution Innovation role owns audit and compliance product capabilities for the PSAO solutions portfolio, including roadmap development, pharmacy audit support, registration and licensure tracking, regulatory compliance, and risk mitigation. The role leads cross-functional delivery, stakeholder alignment, operational enablement, and performance reporting.
Responsibilities
- Define and maintain the multi-year product vision, strategy, and roadmap for PSAO Audit and Compliance Solutions, including Pharmacy Audit Support, compliance workflows, registration and licensure tracking, policy enablement, and risk mitigation capabilities
- Translate the priorities of the Group Product Owner – PSAO Solutions into an outcome-focused roadmap that balances regulatory compliance, pharmacy support, operational efficiency, and business value
- Use customer insight, audit trends, regulatory change, operational feedback, and internal stakeholder input to identify unmet needs and prioritize product improvements and new capabilities
- Own the Pharmacy Audit Support product and associated features, processes, and enhancements that help pharmacies respond productively to payer and PBM audits
- Lead the design and continuous improvement of audit support workflows, reporting, case management, issue escalation, and related enablement tools
- Partner with internal teams and external stakeholders to improve audit outcomes, reduce avoidable recoupment exposure, and strengthen the value proposition of PSAO support services
- Leverage AI and technology to continually enhance the Pharmacy Audit Support offerings and drive efficiencies
- Ensure PSAO offerings remain compliant with all applicable federal, state, and local laws, rules, regulations, and related obligations
- Coordinate and track PSAO registration and licensure requirements, maintain compliance calendars and documentation, and ensure registrations and licensures are filed accurately, on time, and in compliance with applicable requirements
- Monitor evolving regulatory and licensure requirements and drive timely updates to processes, product capabilities, controls, and stakeholder communications
- Facilitate policy and procedures updates resulting from evolving regulatory and licensure requirements
- Support the ongoing monitoring of participating pharmacies and providers for suspicious, fraudulent, or otherwise high-risk activity through analysis of internal and external data sources
- Collaborate with Central Pay, contracting, finance, and related teams to address holds, recoupments, terminations, change-of-ownership issues, and other payment-integrity or compliance-related risks
- Contribute to preventative and corrective action plans, policy improvements, and control enhancements related to compliance and audit findings
- Own and maintain a robust, prioritized, and appropriately sequenced backlog of product enhancements, compliance capabilities, workflow improvements, and operational support features
- Lead product roadmap planning, release coordination, and end-to-end delivery of enhancements in partnership with technology, data, operations, legal, compliance, and other stakeholders
- Communicate early and often with product management leadership and peer teams to ensure audit and compliance changes do not negatively impact other PSAO solution capabilities or teams
- Serve as a primary liaison across legal, corporate compliance, operations, contracting, finance, credit and accounts receivable, sales, customer support, and external partners to ensure aligned execution of audit and compliance priorities
- Partner with the Group Product Owner – PSAO Solutions and peer leaders to help coordinate cross-product roadmap dependencies and ensure alignment to broader PSAO solution strategy
- Engage internal users and external stakeholders early and often to understand requirements, validate workflows, and improve the usability and effectiveness of compliance and audit solutions
- Support development, maintenance, review, and operationalization of policies, procedures, controls, and documentation needed to meet compliance program obligations within the PSAO environment
- Help define, coordinate, and improve compliance training, communications, and enablement materials for internal teams and stakeholders involved in audit, compliance, registration, and licensure activities
- Drive best practices and standardized operating methods that improve consistency, timeliness, and audit readiness across the PSAO compliance domain
- Define and track key performance indicators for PSAO Audit and Compliance Solutions, including audit support utilization, compliance timeliness, registration and licensure completion, issue resolution, risk indicators, and business impact
- Provide regular reporting and insights to leadership regarding product performance, operational trends, compliance status, risks, and opportunities for improvement
- Continuously assess adoption, efficiency, customer value, and cost-benefit outcomes to refine priorities and strengthen solution performance
Skills
- Bachelor's degree required
- Typically requires 7+ years of directly related and progressively responsible experience in compliance, audit support, regulatory operations, pharmacy services, product management, or a related field
- Strong understanding of pharmacy operations, payer and PBM audit dynamics, regulatory compliance, and registration/licensure requirements in healthcare or pharmacy-related environments
- Demonstrated ability to define product roadmaps, prioritize enhancements, lead cross-functional delivery, and translate stakeholder needs into scalable solutions
- Strong analytical, communication, organizational, and stakeholder management skills, with the ability to influence decisions and drive outcomes in a matrixed environment
- Advanced degree preferred in business, healthcare, pharmacy, regulatory affairs, compliance, or related fields
Benefits
- Medical care
- Dental care
- Vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Opportunities to participate in mentorship programs
- Employee resource groups
- Volunteer activities
Company Overview