Manager, Operations

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

📋 Description

• Lead and cultivate the Benefit Plan Administration team across various lines of business.

• Ensure precise and uniform programming of benefit plans.

• Oversee team performance, project timelines, and adherence to deadlines.

• Attain operational objectives, performance commitments, and service level agreements.

• Evaluate cross-functional impacts utilizing departmental workflow expertise.

• Collaborate with customers, members, providers, and both internal and external stakeholders to address escalated issues.

• Manage employee performance through scorecards, metrics, feedback, coaching, guidance, and development.

• Lead organizational data validation initiatives that support system enhancements and release updates.

• Supervise project management, programming, testing, and documentation efforts.

• Schedule staff, oversee capacity, and coordinate workflow effectively.

• Develop and document workflows, system requirements, impact analyses, system designs, process analyses, and testing protocols.

• Identify reporting needs, document reporting specifications, and conduct testing of new reports prior to production implementation.

• Create and sustain functionality in ticketing systems, benefit landscapes, and workflows.

• Propose and implement solutions while assessing outcomes.

• Collaborate with client-facing teams to address concerns and implement enhancement opportunities.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare, or a related field, or an equivalent combination of education and/or relevant work experience.

• High school diploma from an accredited institution or equivalent GED is required.

• 6 years of experience in operations management, pharmacy benefit management, healthcare, insurance, retail, analytics, or operational compliance.

• 2 years of experience in leadership or people management.

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Advanced analytical and problem-solving capabilities.

• Ability to lead teams through multiple concurrent projects while adhering to strict timelines, SLAs, and performance commitments.

• Proficiency in Microsoft Excel, Word, and business systems utilized for benefit configuration.

• Ability to convert data into actionable insights.

• Skills in developing and implementing process enhancements.

• Strong interpersonal, communication, and facilitation abilities.

• Competence in preparing and delivering documentation, reporting, and audit responses.

• All employees must understand, comply with, and attest to job-specific security obligations and controls.

• All employees must adhere to applicable legal, regulatory, contractual, and internal standards.

🏝️ Benefits

• Benefits, incentives, and additional compensation (details available on the Benefits Page).

• Equal opportunity and affirmative action employer.

• Reasonable accommodations for employees with disabilities.

• Tobacco-Free Workplace.