
Senior Manager, Membership Operations
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Lead, mentor, and nurture a team of five membership analysts.
• Establish goals, offer consistent feedback, assess performance, and identify career growth opportunities.
• Manage the workload, prioritization, and team capacity to ensure deadlines and service commitments are met.
• Report on team performance, risks, and outcomes to senior leadership while recommending solutions.
• Supervise the ongoing analysis of post-onboarding membership data to identify discrepancies that impact member access.
• Direct root-cause analysis and resolution of data issues, preventing recurrence through process or control enhancements.
• Act as a primary contact for pharmaceutical partners regarding membership processes.
• Address issues and escalations raised by partners and communicate any process changes.
• Ensure contracts are evaluated from a membership standpoint, identifying potential redlines and necessary approvals.
• Verify that product setup conforms with contract terms.
• Ensure that contract logic and rules are accurately represented in systems to generate correct eligibility.
• Oversee roster management and address both internal and external membership inquiries.
• Manage queues to fulfill SLAs and direct issues to the relevant internal teams.
• Define, monitor, and drive team KPIs, including SLA performance, data accuracy, and turnaround time.
• Supervise both recurring and ad hoc membership reporting using data from various sources.
• Identify areas for improvement and opportunities, creating, documenting, and implementing processes and tools that enhance accuracy, efficiency, and partner experience.
• Anticipate evolving partner and business needs and strategize the team's approach.
• Bachelor’s degree in business administration, information management, data analytics, or a related field, or equivalent experience.
• 7+ years of experience in data analysis, data quality, membership or customer operations, or a related field.
• 3+ years of experience leading a team of analysts or similar professionals.
• Strong data analysis capabilities, including extracting and integrating data from multiple sources and converting it into actionable insights.
• Working knowledge of relational databases and data models.
• Proficiency in SQL and reporting or BI tools.
• Experience in managing queues and adhering to SLAs.
• Experience in driving performance through metrics.
• Exceptional written and verbal communication skills, including collaboration with external partners.
• Preferred: Master’s degree in business administration or a related field.
• Preferred: Experience in pharmaceutical distribution, healthcare, or a contract/membership environment (e.g., GPO, 340B, or manufacturer-facing roles).
• Preferred: Experience in developing or redesigning processes and documentation.
• Preferred: Certification in data governance, project management, or equivalent.
• Medical, dental, and vision care.
• Backup dependent care.
• Adoption assistance.
• Infertility coverage.
• Family building support.
• Behavioral health solutions.
• Paid parental leave.
• Paid caregiver leave.
• Training programs.
• Professional development resources.
• Mentorship programs.
• Employee resource groups.
• Volunteer activities.
Healthcare Outcomes Performance Co. (HOPCo)
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