Operations Director, SPBM - Archimedes

Navitus Health SolutionsBrentwood, TN
5dHybrid

About The Position

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost..______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations.

Requirements

  • 5+ years in healthcare-related operations roles
  • Strong strategic thinking and problem-solving abilities
  • Ability to prioritize work for cross-functional teams
  • Excellent people leadership skills with servant leadership attributes
  • Proficiency in Microsoft Office, email, and internet tools
  • Experience in Call Center Software Management
  • Expertise in Operations Team Management
  • Strong verbal and written communication, presentation, and negotiation skills
  • Ability to engage with stakeholders effectively
  • Willingness to travel as needed to meet goals

Nice To Haves

  • Preferred knowledge of Pharmacy Benefit Management (PBM) operations and industry

Responsibilities

  • Financial & Operational Management:
  • Oversee financial outcomes, including claims loading, adjudication, and payments
  • Manage all aspects of operations and ensure efficiency
  • Develop and implement strategic plans aligned with company objectives
  • Meet financial and performance goals, including budget preparation
  • Leadership & Team Development:
  • Provide vision for call center goals and lead a multi-site team
  • Foster a collaborative, employee-focused work environment
  • Provide ongoing formal training to team members
  • Supervise managers and supervisors to enhance performance
  • Process Improvement & Analytics:
  • Conduct data analysis and present insights to stakeholders
  • Establish and monitor key performance indicators (KPIs)
  • Implement best practices to optimize effectiveness
  • Drive process improvements for scalability and efficiency
  • Cross-Functional & Client Engagement:
  • Manage projects across functions and support corporate initiatives
  • Collaborate with departments like clinical, IT,
  • Own pharmacy and vendor relationships for claims processing, call routing, reporting, and communication
  • Vendor and client-facing as needed
  • Customer Experience & Service Quality:
  • Foster a customer-centric culture and enhance customer satisfaction
  • Oversee call center operations, ensuring service quality and adherence to metrics
  • Implement strategies for customer loyalty and consistency in messaging

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What This Job Offers

Job Type

Full-time

Career Level

Manager

Education Level

No Education Listed

Number of Employees

1-10 employees

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