Manager, Operations (Remote)

$73,580 - $117,720/Yr

Prime Therapeutics - Providence, RI

Full-time - Mid Level

Remote - Providence, RI

Administrative and Support Services

About the position

The Manager, Operations is responsible for overseeing the Benefits Plan Administration team, ensuring that benefit plans are programmed correctly and that performance guarantees and service level agreements are met. This role involves managing team performance, creating project plans, and providing training to new analysts. The manager will also interface with customers to resolve complaints and take on additional responsibilities in the absence of the Director.

Responsibilities

• Manage the Benefits Plan Administration team across multiple lines of business.
• Ensure benefit plans are programmed appropriately and consistently.
• Create project plans and perform analysis to meet project deadlines.
• Interface directly with customers, members, and providers to resolve complaints.
• Provide training to new and less experienced benefit analysts.
• Manage employee performance through defined scorecards and metrics.
• Develop and implement plans of action to increase efficiency and performance.
• Conduct root cause analysis and recommend solutions for operational issues.
• Coordinate responses to external and internal audits.
• Maintain a positive work environment that supports self-directed teams.

Requirements

• Bachelor's degree required with a minimum of 5 years' PBM Benefit Analyst experience.
• 3+ years' supervisory experience in a PBM technical environment required.
• Ability to analyze benefit plans and programming rules.
• Excellent organizational, interpersonal, and communication skills.
• Strong analytical, technical, and problem-solving skills.
• Ability to train employees on products, procedures, and systems across multiple lines of PBM business.

Nice-to-haves

• Experience in a fast-paced and dynamic work environment.
• Familiarity with compliance standards and audit protocols.

Benefits

• Health insurance
• 401k plan
• Paid holidays
• Flexible scheduling
• Professional development opportunities