Manager, Data Operations

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead a specialized team in data operations while mentoring and developing team members.

• Ensure the accuracy, timeliness, integrity, and security of client eligibility and accumulator data.

• Supervise file structures, data mapping, and the processes of ingestion and egestion.

• Utilize knowledge of PBM claims adjudication to identify and rectify data-related issues.

• Manage the setup, configuration, and ongoing administration of SFTP for client and vendor file transfers.

• Drive automation in coding to minimize manual file handling and reduce errors.

• Implement monitoring and alert systems for file transmission failures and lead the resolution process.

• Oversee change control regarding client data, file structures, and production systems.

• Ensure that all changes are documented, tested, and received approval prior to production.

• Act as the Scrum Master by facilitating sprint planning, daily standups, and retrospectives.

• Monitor team velocity and capacity while removing obstacles that hinder progress.

• Engage directly with clients to address data issues, onboarding processes, and escalations.

• Collaborate with IT and business leaders to execute and prioritize the project roadmap.

• Convert technical data and file issues into understandable terms for non-technical stakeholders.

⛳️ Requirements

• Bachelor's degree in a relevant field or equivalent experience.

• Direct, hands-on experience with PBM, including familiarity with eligibility files, accumulator data, and claims adjudication processes.

• Over 5 years of experience in data operations, file management, or a similar role within PBM/TPA/adjudicator data.

• Previous experience in people management is essential.

• Proficiency with SFTP setup, configuration, and management for client or vendor file transfers.

• Familiarity with change control processes in regulated or healthcare data environments.

• Experience as a Scrum Master or a solid understanding of Scrum/Agile methodologies, with a readiness to take on that role.

• Technical fluency in reviewing SQL, file specifications, or automation coding is required.

• Exceptional communication skills and confidence in direct client interactions.

• Strong organizational skills and the ability to prioritize effectively.

• Willingness to travel 10%-20% of the time.

• Alignment with the core values of AffirmedRx, including trust, accountability, and innovation.

🏝️ Benefits

• Competitive salary, along with health, dental, vision, and additional benefits.

• Opportunity to influence industry transformation in the pharmacy benefits management sector while ensuring high-quality patient outcomes.

• A thriving culture where individual success contributes to overall business success.