Demo

Operations Program Manager

RxBenefits, Inc.
Birmingham, AL Full Time
POSTED ON 1/27/2025
AVAILABLE BEFORE 4/25/2025

Job Description

Job Description

RxBenefits is hiring! The Operations Program Manager is uniquely positioned to ensure the success of people, projects, and processes to deliver upon and exceed client expectations. The Program Manager will lead a journey of excellence for RxBenefits concentrating in Member Services with overlap into Client Operations and New Client Implementation. This person is responsible for identifying and executing high-impact cross-functional projects. The immediate focus is within the Member Services organization; looking through data, identifying trends and issues. This program manager will be executing projects focused on managing, improving, and measuring the work we do in Member Services to deliver a best-in-class experience for clients and their members. Each of the projects must have measurable outcomes, allowing us to scale our business and reduce calls to the call center. This role will also collaborate across business units to successfully implement changes which may be driven by internal process / product changes, client expectations, internal data / feedback, PBM partners, and / or regulatory / compliance requirements. The successful candidate will be a proactive, organized, and innovative individual capable of directing and improving our business processes. This candidate will understand data and have the ability to understand trends, established an informed opinion on best path forward.

Job Responsibilities Include :

  • Create a continuous improvement (CI) culture that drives behaviors of employees to challenge the status quo in order to deliver sustainable results in quality, cost and delivery
  • Work in collaboration with the assigned business units to gather opportunities to improve current processes, roles, or tools
  • Identify and develop strong relationships within RxBenefits functional areas, leveraging these relationships to drive consistent, connected processes and expectations. This role is a key thread that supports collaboration and connection in how we work and deliver operationally.
  • Maintain working knowledge of RxBenefits service offerings, products, and strategic goals, leveraging this knowledge to assess and prioritize recommended process improvement efforts.
  • Translate and document business unit needs into business requirements for process, technology, and staff resource changes.
  • Use a standard set of Lean / Problem Solving tools and analyses; driving the consistent use of these standards by others.
  • Lead and / or oversee project teams to design, develop, and implement processes, strategies, and solutions that enhance overall performance encompassing the right people, process, and tools.
  • Report on progress of projects and other initiatives, understanding and communicating the risks, dependencies, budgets, resourcing, issues, critical milestones and actions necessary to succeed.
  • Assess newly implemented processes to understand adoption and success, recommending change or mitigation efforts where gaps exist. Leverage both data, observation, and discussion to complete assessment, associated recommendations, and to report impact of changes.
  • Create and deliver timely communications, customized for various audiences and stakeholder groups, to ensure critical knowledge is disseminated across the organization.
  • Effectively role model the commitment and behaviors needed to meet the Company’s aggressive growth and retention goals including leveraging data & corporate strategy to prioritize the right projects.

Required Skills / Experience Include :

  • Bachelor’s degree or commensurate experience required.
  • 5 years of experience in operations, process, improvement role
  • 2 years of experience pharmacy benefits or related industry
  • 2 years of experience or familiarity with Call center protocols preferred
  • Working proficiency of company standard MS Windows and associated office productivity software tools (Word, Excel, PowerPoint) required
  • Working knowledge of a CRM tool required, SalesForce preferred
  • Prior experience with PBM systems / platforms (Optum, CVS and / or ESI) preferred
  • Confluence or similar content management tool experience preferred
  • Experience in Smart Sheets and AdaptiveWorks or similar workflow management tool experience preferred
  • Proven history of utilizing continuous improvement philosophy, tools and techniques to drive significant and quantifiable efficiency improvement projects; Six Sigma yellow belt certification required within one year if not certified
  • Project management, planning and analytical skills; proven ability to apply these skills with skillful business acumen to complex situations with competing priorities
  • Process minded individual who understands how to guide a team to execute with utmost thoroughness and accountability
  • Highly collaborative team player with the ability to work effectively across all departments to build successful relationships with various stakeholders to drive a culture of accountability
  • Excellent communication and interpersonal skills; able to work with people of varied technical backgrounds and management levels
  • A high level of curiosity, passion for learning, and passion to help others be successful
  • Ability to manage workload autonomously, make decisions, work in a complex environment
  • Ability to facilitate consensus, indirectly influence and obtain buy-in to drive successful adoption of change
  • Based on relevant market data and other factors, the anticipated hiring range for this role is $80,000 to $100,000 annually. Final compensation rates will be determined based on various factors, including but not limited to experience, skills, knowledge, and internal equity considerations. This role is also short-term incentive eligible. Incentive amounts will vary by individual and business goals.

    We are committed to fair and equitable compensation practices. The final salary offered to the selected candidate may vary from the posted range due to individual qualifications. Our goal is to ensure that all teammates are compensated fairly and competitively based on their contributions to our organization.

    RxBenefits is also committed to providing best in class benefits to our teammates. We offer a robust total rewards package that includes :

  • Remote first work environment
  • Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
  • Dental, Vision, Short- and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
  • Additional buy-up options for Short- and Long-Term Disability and Life Insurance
  • 401(k) with an employer match up to 3.5% available after 60 days
  • Community Service Day to give back and support what you love in your community
  • 10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
  • Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
  • Tuition Reimbursement for accredited degree programs
  • Paid New Parent Leave that can be used for adoption or birth
  • Pet insurance to protect your furbabies
  • A robust mental health benefit and EAP service through Spring Health to support you when you need it most
  • Salary : $80,000 - $100,000

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