Remote Manager, Benefit Plan Operations

Prime Therapeutics; Boise (ID); Remote; USD 81,000 - 138,000; Full time

Job summary

Prime Therapeutics is seeking a Manager of Operations to lead the Benefit Plan Configuration team across multiple lines of business. This remote role focuses on ensuring accurate programming of benefit plans, meeting SLAs, and driving process improvements.

You will coordinate project plans, supervise data validation efforts, and collaborate with clients, members, and providers to resolve escalated issues and deliver high-quality service.

Qualifications

• Bachelor's degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required.

Responsibilities

• Manage employee performance through defined scorecards and performance metrics and provide ongoing feedback, coaching, direction, and development.
• Lead the team in organizational data validation projects to support major system enhancements or release updates.
• Oversee project management, programming, testing, and documentation activities to drive performance and ensure service level agreements (SLAs) are met or exceeded.
• Schedule employees, manage capacity, and coordinate activities to maintain appropriate workflow.
• Develop and document workflows, system requirements, system impact analyses, system design, process analyses, and testing, including reasonableness checks, using software development methodology to deliver efficient, cost-effective solutions as directed.
• Identify reporting needs based on system programming and workflows; document reporting requirements and conduct testing of new reporting prior to implementation in production.
• Create and maintain necessary functionality in ticketing systems, benefit landscapes, and workflows; recommend and implement solutions and evaluate results.
• Partner with client-facing teams to resolve client concerns and ensure identified improvement opportunities are effectively addressed and implemented.
• Other duties as assigned.

Skills

Leadership

Analytical skills

Excel

Documentation

Cross-functional collaboration

Education

Bachelor's degree in business, healthcare, or related area of study

Tools

Microsoft Excel

Microsoft Word

Benefit configuration systems

Job description

Prime Therapeutics is seeking a Manager of Operations to lead the Benefit Plan Configuration team across multiple lines of business. This remote role focuses on ensuring accurate programming of benefit plans, meeting SLAs, and driving process improvements.

You will coordinate project plans, supervise data validation efforts, and collaborate with clients, members, and providers to resolve escalated issues and deliver high-quality service.