Manager of Clinical Operations

Prime Therapeutics • Raleigh, NC • 16h ago

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Job Description

The Manager Operations is responsible for operations and project support capacity planning for a client team or focus area within a department of an Operations functional area. This position is accountable for providing subject matter expertise (SME) support on projects, maintaining client relationships, executing on talent management and planning efforts, ensuring staff development, and driving continuous improvement within their respective teams.

Responsibilities

Manage operations (via capacity and workload planning, project support planning, or project leadership) for immediate client team, focus area, or department to ensure performance guarantees and client expectations are met in the areas of quality/accuracy, cost, and throughput

Partner with team and Continuous Quality Improvement (CQI) shared service to identify and execute on continuous improvement initiatives to improve cost, quality, and/or throughput metrics for assigned client team or focus area

Partner with the Director Operations and HR to drive talent management and talent planning efforts for client team or focus area

Partner with Director Operations and Shared Services to develop and execute on a plan to build a knowledgeable and experienced staff

Serve as escalation point for client-related issues and requests that are unable to be addressed by supervisor and/or individual contributor roles

Other duties as assigned

Minimum Qualifications

Bachelor's degree in business, healthcare or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

6 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, or highly regulated market

1 year of leadership/people management experience

Must be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

Ability to set clear expectations and vision for immediate focus area or client team

Advanced verbal and written communication skills

Ability to lead groups in making decisions and reaching consensus

Ability to coordinate multiple projects, accountabilities, and tasks simultaneously without compromising quality

Preferred Qualifications

Previous experience with RxClaim

Previous experience with Medicare or Medicaid

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.? ?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Similar Jobs

Healthcare Claims Assistant III

General Dynamics Information Technology • Raleigh, NC • 1h ago

Hospital & Medical

Req ID: RQ204877 Type of Requisition: Regular Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Healthcare Claims Skills: Credentialing,Detail-Oriented,Documentations,Processing,P...

1h ago

Go to Apply

Account Executive I - Advanced Surgical Instruments (ASI) - Raleigh, NC - Johnson & Johnson MedTech, Surgery

J&J Family of Companies • Raleigh, NC • 14h ago

Hospital & Medical

At Johnson & Johnson,?we believe health is everything. Our strength in healthcare innovation empowers us to build a?world where complex diseases are prevented, treated, and cured,?where treatments are smarter and les...

14h ago

Go to Apply

$21/hour Remote Customer Service Representative (Healthcare)

TEKsystems • Raleigh, NC • 14h ago

Hospital & Medical

TEKsystems is hiring Remote Customer Service Representatives to support a high-impact healthcare initiative. This role serves as the primary point of contact for patients and providers, offering operational and reimburse...

14h ago

Go to Apply

Senior Medical Director

Actalent • Morrisville, NC • 2d ago

Hospital & Medical

Job Title: Senior Medical DirectorJob Description The role of the Senior Rheumatologist: Medical Director/Global Medical Indication Lead is an exciting opportunity to be part of a world-class organization conducting grou...

2d ago

Go to Apply

Security Professional - Unarmed Medical Patrol

Allied Universal • Raleigh, NC • 2d ago

Hospital & Medical

Allied Universal®, North America's leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse, and inclusive workplace, you will be pa...

2d ago

Go to Apply

Clinical Case Manager, Behavioral Health

CVS Health • Raleigh, NC • 2d ago

Hospital & Medical

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions compan...

2d ago

Go to Apply

Associate Director Clinical Operations

Actalent • Raleigh, NC • 2d ago

Hospital & Medical

Job Title: Associate Director, Clinical OperationsJob Description The Associate Director, Clinical Operations will align with the Head of Clinical Development Operations or Senior Director, Clinical Operations to success...

2d ago

Go to Apply