Remote Operations Manager, Benefit Plans

Prime Therapeutics; Austin (TX); A distancia; USD 81.000 - 138.000; Jornada completa

Descripción de la vacante

Prime Therapeutics is searching for a Manager of Operations to lead the Benefit Plan Configuration team and ensure accurate programming of benefit plans. This remote role oversees performance metrics, project plans, and cross-functional collaboration with clients, members, and providers.

Ideal candidates have a Bachelor’s in business/healthcare, 6 years in operations/PBM, 2 years of leadership, and strong Excel/Word skills to drive efficient configurations and reporting across SLAs.

Formación

• Bachelor’s degree in business, healthcare, or related area of study.
• 6 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, retail, analytics, or operational compliance.
• 2 years of leadership/people management experience.

Responsabilidades

• 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.

Conocimientos

Analytical thinking

Leadership

Communication

Project management

Problem solving

Educación

Bachelor’s degree in business, healthcare, or related area

Herramientas

Microsoft Excel

Microsoft Word

Descripción del empleo

Prime Therapeutics is searching for a Manager of Operations to lead the Benefit Plan Configuration team and ensure accurate programming of benefit plans. This remote role oversees performance metrics, project plans, and cross-functional collaboration with clients, members, and providers.

Ideal candidates have a Bachelor’s in business/healthcare, 6 years in operations/PBM, 2 years of leadership, and strong Excel/Word skills to drive efficient configurations and reporting across SLAs.