Manager, Operations

🔥 14 minutes ago

🇺🇸 United States – Remote

💵 $81k - $138k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Lead and develop the Benefit Plan Administration team across multiple lines of business • Ensure accurate and consistent programming of benefit plans • Manage team performance, project plans, and execution against deadlines • Ensure operational goals, performance guarantees, and service level agreements are achieved • Assess cross-functional impacts using departmental workflow knowledge • Collaborate with customers, members, providers, and internal and external stakeholders to resolve escalated issues • Manage employee performance through scorecards, metrics, feedback, coaching, direction, and development • Lead organizational data validation projects supporting system enhancements and release updates • Oversee project management, programming, testing, and documentation activities • Schedule employees, manage capacity, and coordinate workflow • Develop and document workflows, system requirements, impact analyses, system designs, process analyses, and testing • Identify reporting needs, document reporting requirements, and test new reporting before production implementation • Create and maintain functionality in ticketing systems, benefit landscapes, and workflows • Recommend and implement solutions and evaluate results • Partner with client-facing teams to resolve concerns and implement improvement opportunities • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience • High school 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 • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Advanced analytical and problem-solving skills • Ability to lead teams through multiple concurrent projects while meeting strict timelines, SLAs, and performance guarantees • Proficiency in Microsoft Excel, Word, and business systems used for benefit configuration • Ability to translate data into actionable insights • Ability to develop and implement process improvements • Strong interpersonal, communication, and facilitation skills • Ability to prepare and deliver documentation, reporting, and audit responses • Every employee must understand, comply with, and attest to job-specific security responsibilities and controls • Every employee must comply with applicable legal, regulatory, contractual, and internal requirements

🏖️ Benefits

• Benefits, incentives, and additional compensation (details provided via the Benefits Page) • Equal opportunity and affirmative action employer • Reasonable accommodations for employees with disabilities • Tobacco-Free Workplace