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Manager, Operations
Prime Therapeutics. Lead and develop the Benefit Plan Administration team across multiple lines of business .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Benefit Plan Administration, project management, and operational compliance, with a strong focus on team leadership and performance management. Proficient in data analysis and process improvement, ensuring adherence to service level agreements and operational goals.
Highest-signal resume keywords
Benefit Plan AdministrationProject ManagementOperations ManagementData AnalysisLeadership Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Analytical SkillsProcess ImprovementBenefit ConfigurationDocumentation PreparationReporting Requirements
Soft Skills
Interpersonal SkillsCommunication SkillsFacilitation Skills
Tools & Technologies
Microsoft ExcelMicrosoft WordTicketing Systems
Industry Keywords
HealthcarePharmacy Benefit ManagementInsuranceOperational Compliance
About the role
Key responsibilities & impact- Lead and develop the Benefit Plan Administration team across multiple lines of business
- Ensure accurate and consistent programming of benefit plans
- Manage team performance, project plans, and execution against deadlines
- Ensure operational goals, performance guarantees, and service level agreements are achieved
- Assess cross-functional impacts using departmental workflow knowledge
- Collaborate with customers, members, providers, and internal and external stakeholders to resolve escalated issues
- Manage employee performance through scorecards, metrics, feedback, coaching, direction, and development
- Lead organizational data validation projects supporting system enhancements and release updates
- Oversee project management, programming, testing, and documentation activities
- Schedule employees, manage capacity, and coordinate workflow
- Develop and document workflows, system requirements, impact analyses, system designs, process analyses, and testing
- Identify reporting needs, document reporting requirements, and test new reporting before production implementation
- Create and maintain functionality in ticketing systems, benefit landscapes, and workflows
- Recommend and implement solutions and evaluate results
- Partner with client-facing teams to resolve concerns and implement improvement opportunities
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience
- High school diploma from an accredited school or equivalent GED required
- 6 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, retail, analytics, or operational compliance
- 2 years of leadership/people management experience
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
- Advanced analytical and problem-solving skills
- Ability to lead teams through multiple concurrent projects while meeting strict timelines, SLAs, and performance guarantees
- Proficiency in Microsoft Excel, Word, and business systems used for benefit configuration
- Ability to translate data into actionable insights
- Ability to develop and implement process improvements
- Strong interpersonal, communication, and facilitation skills
- Ability to prepare and deliver documentation, reporting, and audit responses
- Every employee must understand, comply with, and attest to job-specific security responsibilities and controls
- Every employee must comply with applicable legal, regulatory, contractual, and internal requirements
Benefits
Comp & perks- Benefits, incentives, and additional compensation (details provided via the Benefits Page)
- Equal opportunity and affirmative action employer
- Reasonable accommodations for employees with disabilities
- Tobacco-Free Workplace