Data Operations Manager, PBM Data & Client Lead

AffirmedRx; United States; Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health, dental, vision

Competitive compensation

Job summary

AffirmedRx is seeking a Manager, Data Operations to lead data accuracy and security across client eligibility and accumulator files. You will guide a small expert team, manage SFTP operations, and drive automation and change control in a client-focused, regulated healthcare data environment.

You will partner with senior IT leadership and directly engage with clients on onboarding, issues, and escalations, while ensuring data integrity and timely delivery across multiple clients.

Qualifications

• Direct, hands-on PBM experience, including working knowledge of eligibility files, accumulator data, and claims adjudication processes
• 5+ years of experience in data operations, file management, or a related PBM/TPA/adjudicator data role
• Prior people management experience required and comfortable setting expectations, coaching, and holding a small team accountable
• Experience with SFTP setup, configuration, and management for client or vendor file transmissions
• Experience with change control processes in a regulated or healthcare data environment
• Scrum Master experience, or working knowledge of Scrum/Agile practices with willingness to serve in that role
• Hands-on technical fluency — comfortable reviewing SQL, file specifications, or automation code directly, not only through summaries
• Excellent communication skills; comfortable meeting directly with clients to discuss data issues, onboarding, or escalations
• Strong organizational and prioritization skills, able to manage multiple clients, projects, and team priorities at once
• Mission-driven, humble, and supportive; hold high standards while fostering learning rather than blame
• Aligns with affirmRx values, promoting trust, accountability, and innovation
• Willingness to travel (10%-20%)

Responsibilities

• Coach and develop team members across disciplines, building a team that combines deep technical expertise with accountability
• Stay close enough to the work to catch problems early — personally review file specifications, code, or adjudication logic when something is at risk
• Balance leading the team with doing the work: step in directly on build, troubleshooting, or client issues when the situation calls for it
• Own the accuracy, timeliness, and integrity of client eligibility data and accumulator data across all supported clients
• Oversee file layouts, data mapping, and ingestion/egestion processes for eligibility and accumulator files
• Apply direct PBM claims adjudication knowledge to identify and resolve data issues before they affect client operations
• Own SFTP setup, configuration, and ongoing management for client and vendor file transmissions
• Drive coding automations that reduce manual file handling and lower the risk of error
• Ensure monitoring and alerting are in place for file transmission failures, and lead resolution when they occur
• Own the change control process governing changes to client data, file layouts, and related production systems
• Ensure changes are properly documented, tested, and approved before moving to production
• Continuously improve change control and operational processes based on lessons learned from past issues
• Serve as Scrum Master for the team, running sprint planning, daily standups, and retrospectives
• Track team velocity and capacity, and proactively remove blockers to keep work moving
• Foster a culture of continuous improvement in how the team plans, executes, and delivers work
• Meet directly with clients as needed to discuss data issues, onboarding, or escalations, serving as a technically credible point of contact
• Partner with the AVP, Information Technology Operations & Security and other IT and business leaders on roadmap execution and prioritization
• Translate technical data and file issues into terms non-technical clients and stakeholders can understand and act on

Skills

SQL

Team leadership

Communication

Education

Bachelor’s degree in a related field

Tools

SFTP setup

Job description

AffirmedRx is seeking a Manager, Data Operations to lead data accuracy and security across client eligibility and accumulator files. You will guide a small expert team, manage SFTP operations, and drive automation and change control in a client-focused, regulated healthcare data environment.

You will partner with senior IT leadership and directly engage with clients on onboarding, issues, and escalations, while ensuring data integrity and timely delivery across multiple clients.