• The Benefit Operations Manager plays a crucial role in serving as a key liaison between our company, pharmacy processing partners, and medical benefit processing partners. This position’s role is to optimize the benefit operations team and ensure efficient management of patient affordability programs on behalf of pharmaceutical companies. This position requires strong leadership skills, strategic thinking, and a deep understanding of benefit operations processes.

Essential Functions 

Strategic Planning and Process Optimization

• Write and refine business requirements for new patient affordability programs
• Update existing programs with business rule changes as needed
• Maintain and optimize program turnaround times and timelines
• Develop and implement strategic plans to enhance operational efficiency
• Identify areas for improvement in benefit operations processes
• Lead initiatives to streamline workflows and reduce turnaround times
• Collaborate with IT to optimize platform interactions and system integrations

Partner and Client Relations

• Maintain relationships with pharmacy processing partners and medical benefit processing partners
• Serve as the escalation point for complex issues or high-priority client requests
• Participate in client meetings to provide expert consultation on program design and implementation

Program Oversight

• Monitor the development and maintenance of patient affordability programs
• Ensure compliance with business requirements and industry regulations
• Oversee the implementation of business rule changes across programs
• Review and approve major program updates or new program launches

Cross-functional Collaboration

• Work closely with Account Management, IT and other departments to ensure alignment of benefit operations with overall business objectives
• Participate in cross-functional projects to improve company-wide processes and systems
• Act as a subject matter expert on benefit operations for internal stakeholder

Qualifications

• Bachelor's degree in Business Administration, Healthcare Management, or related field;
• 3-5+ years of experience in healthcare benefits, pharmacy benefit management, or related area
• Comprehensive understanding of patient affordability programs and pharmaceutical industry dynamics
• Strong leadership skills
• Excellent analytical and problem-solving abilities
• Outstanding communication and interpersonal skills

Skills

• Technical Proficiency: Strong aptitude for learning and working with various software platforms and data analysis tools, especially excel
• Attention to Detail: Meticulous approach to maintaining accuracy in program rules and operations
• Strategic Thinking: Ability to see the big picture and develop long-term solutions
• Relationship Management: Skilled at building and maintaining strong partnerships with internal and external stakeholders
• Industry Knowledge: In-depth understanding of the healthcare and pharmaceutical industries, including relevant regulations and trends

Working Conditions

• Environment: Primarily indoor office setting, with standard office equipment. 
• Physical Demands: Frequent sitting, dexterity for computer use, occasional walking and standing, and lifting of less than 20 pounds.