Remote Operations Manager, Benefit Plans

Prime Therapeutics; Salem (OR); Remote; USD 81,000 - 138,000; Full time

Job summary

Prime Therapeutics, a leading PBM, seeks a Manager of Operations in a remote-capable role. You will lead the Benefit Plan Configuration team across multiple lines of business, ensure goals and SLAs, and drive cross-functional collaborations with customers, members, and providers.

You will oversee performance metrics, project planning, and reporting, with a focus on data validation, system enhancements, and efficient workflows. Strong Excel/Word skills and healthcare insight are essential.

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.
• 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.

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 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.

Skills

Leadership/People management

Operations management

PBM knowledge

Education

Bachelor’s degree in business/healthcare

Tools

Microsoft Excel

Microsoft Word

Benefit configuration systems

Job description

Prime Therapeutics, a leading PBM, seeks a Manager of Operations in a remote-capable role. You will lead the Benefit Plan Configuration team across multiple lines of business, ensure goals and SLAs, and drive cross-functional collaborations with customers, members, and providers.

You will oversee performance metrics, project planning, and reporting, with a focus on data validation, system enhancements, and efficient workflows. Strong Excel/Word skills and healthcare insight are essential.