Manager, Operations (Remote)

$73,580 - $117,720/Yr

Prime Therapeutics - Columbia, SC

Full-time - Mid Level

Remote - Columbia, SC

Administrative and Support Services

About the position

The Manager, Operations at Prime Therapeutics is responsible for overseeing the Benefits Plan Administration team across various lines of business. This role involves managing team performance, ensuring compliance with service level agreements, and developing project plans to meet operational goals. The manager will also provide training and support to team members, interface with customers to resolve complaints, and assume additional responsibilities in the absence of the Director.

Responsibilities

• Manage the Benefits Plan Administration team across multiple lines of business.
• Create project plans and perform analysis to ensure project deadlines are met.
• Interface directly with customers, members, and providers to resolve complaints.
• Develop and implement plans of action to increase efficiency and performance.
• Manage employee performance through defined scorecards and metrics.
• Provide ongoing feedback and coaching to team members.
• Identify training needs and develop training plans for the team.
• Conduct root cause analysis and recommend solutions for operational issues.
• Coordinate responses to external and internal audits to ensure compliance.
• Participate in initiatives that support process improvements and system integrations.

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 project management within a healthcare setting.
• Familiarity with compliance standards in the healthcare industry.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401k plan
• Paid holidays
• Flexible scheduling
• Professional development opportunities
• Employee discount programs