Manager, Operations - Remote

About this role

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

## Job Posting Title

Manager, Operations - Remote

## Job Description

The Manager of Benefit Plan Configuration is responsible for leading and developing the Benefit Plan Administration team across multiple lines of business to ensure accurate and consistent programming of benefit plans. This role ensures operational goals, performance guarantees, and service level agreements (SLAs) are achieved by managing team performance, creating project plans, and overseeing execution against deadlines. The position applies deep knowledge of departmental workflows to assess cross-functional impacts and collaborates with internal and external stakeholders, including customers, members, and providers, to resolve escalated issues and deliver high-quality service.

Responsibilities

• Manage employee performance through defined scorecards and performance metrics and provide ongoing feedback, coaching, direction, and development
• Lead the team in organizational data validation projects to support major system enhancements or release updates
• Oversee project management, programming, testing, and documentation activities to drive performance and ensure service level agreements (SLAs) are met or exceeded
• Schedule employees, manage capacity, and coordinate activities to maintain appropriate workflow
• Develop and document workflows, system requirements, system impact analyses, system design, process analyses, and testing, including reasonableness checks, using software development methodology to deliver efficient, cost-effective solutions as directed
• Identify reporting needs based on system programming and workflows; document reporting requirements and conduct testing of new reporting prior to implementation in production
• Create and maint...