Pharmacy Client Operations Manager

Cambia Health•Salt Lake City, UT

29d•$68,900 - $93,200•Remote

About The Position

Every day, Cambia's dedicated team of Pharmacy Client Operations Managers are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Client Operations Managers oversees pharmacy operations sales support functions necessary to sales productivity. These include pharmacy sales operations and account management planning, communications, product development operations, sales team training, reporting, and coordinating the implementation of pharmacy benefits, programs and products. Identify areas and processes for improvement which will directly enhance the customer experience and driving those improvements through implementation. Responsible for the productivity, efficiency, and effectiveness of the assigned sales organization. The position reports to the Associate Director, Pharmacy Client Operations and assists the following teams: Pharmacy Initiatives and Market Solutions, Clinical Client Pharmacy Services, and Sales and Account Management Teams. The position works closely with all internal stakeholders and cross-functional partners to ensure the appropriate objectives and priorities are enabled within the sales organization supported - all in service of making our members' health journeys easier. Are you ready to leverage your pharmacy expertise in a role that combines strategic planning, cross-functional collaboration, and meaningful impact? Are you driven by the mission to transform healthcare delivery through innovative pharmacy operations and client service excellence? Then this role may be the perfect fit.

Requirements

Bachelor's Degree in Business and/or Marketing or an Associate's Degree in Business or Marketing
Additionally, 4+ years of experience in the pharmacy managed care setting or as a pharmacy technician in a retail, hospital, or other licensed pharmacy setting; or equivalent combination of education and experience in a related field
Demonstrated knowledge of claims processing systems, Cambia systems (medical claims, prior authorization, PBM vendor systems), MS Office products, and other corporate software; ability to implement and support RFP data management solutions
Comprehensive knowledge of health insurance and pharmacy benefits, including medical terminology, pharmaceutical products (orals, injectables, infusion products, chemotherapy), and healthcare coding systems (ICD-10, CPT, HCPCS); thorough understanding of sales processes, terminology, operational flow, and data requirements
Ability to analyze and review statistical data, prepare reports, and write concise, relevant communications
Demonstrated ability to lead all sales and account management operations, implementation, and activities within pharmacy; ability to educate customers, brokers, and members on pharmacy products
Demonstrated ability to assist with the proposal process and consistently manage and coordinate the production of high-quality initial proposal materials
Demonstrated ability to collaborate with individuals, teams, and cross-functional partners; effectively manage interdepartmental communications and communication processes
Ability to manage multiple complex projects simultaneously, including serving as product owner, project manager, and trainer for new and existing systems and products
Demonstrated analytical ability to identify problems, develop solutions, and implement chosen courses of action; aptitude in process improvement and innovation
Ability to seamlessly and effectively onboard and integrate new pharmacy clients, programs, and products
Ability to work well under pressure and meet tight timelines while maintaining quality standards

Nice To Haves

Certified pharmacy technician preferred
Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Responsibilities

Works closely with sales management to inspect sales and provides pharmacy account management services for quality and opportunities for process improvement.
Triage and provide first touch resolution to client issues. Quickly and accurately assess inquiries in order to understand the customer needs.
Communicate with a variety of external and internal customers regarding benefits, eligibility, and other information.
Works cross functionally with other departments to coordinate pharmacy client operations efforts, identify cross-functional process improvements, and implement sales optimization efforts.
Manages pharmacy client and member communications processes.
Supports the development, production and coordination of the distribution of pharmacy customer communications and correspondence.
Manages the implementation of pharmacy products and programs with timely, accurate, and quality results.
Effectively coordinates with Cambia implementation teams to ensure effective and efficient implementation processes.
Leads and is accountable for the success of pharmacy benefit implementation onboarding for new and renewing customers.
Monitors and provides quality assurance review of group benefits upon implementation and renewal

Benefits

Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
Annual employer contribution to a health savings account.
Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
Award-winning wellness programs that reward you for participation.
Employee Assistance Fund for those in need.
Commute and parking benefits.

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