FreshRemote.Work

Supervisor Operations- REMOTE

Home, United States

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

Supervisor Operations- REMOTE

Job Description

The Supervisor Operations is responsible for ensuring their team delivers on daily production goals and support of key product offerings (Benefit/Network/FormularyDesign, e-Prescribe, Claims Processing, Integrated Product Solutions, Consumer Directed Health Plan). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter expertise for escalated issues or project support.

Responsibilities

  • Monitor and manage team workload and capacity, quality metrics, cost, and efficiency to ensure performance guarantees, turnaround times and other internal and external service levels are met
  • Execute on talent management responsibilities (goal setting, performance reviews, performance feedback, discipline, development goals, business goals, training, etc.) for immediate focus area or client team
  • Provide Subject Matter Expertise (SME) knowledge to internal and external stakeholders via research support, project leadership, implementation support, and internal/external audits
  • Responsible for maintaining and updating processes and procedures (i.e. Standard Operating Procedures (SOPs), Desk Top Procedures (DTPs), training manuals, and other operational procedures and tools
  • Responsible for addressing escalated client issues/inquiries and delivering solutions
  • Other duties as assigned

Education & Experience

  • 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
  • 3 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, retail, or highly regulated market
  • 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 work well within in a team and build relationships across teams
  • Excellent verbal and written communication skills
  • Ability to coordinate multiple projects/tasks simultaneously without compromising quality
  • Strong analytical, problem solving, and decision-making skills

Preferred Qualifications

  • Previous experience with E-Prescribe, Consumer Directed Health Plans, or Benefit Edit Tools
  • Previous supervisory experience
  • Previous experience with RxClaim

Physical Demands

  • Must be able to work outside of Prime core business hours (9 AM – 4 PM), to work overtime, weekends, and holidays, as needed
  • Constantly required to sit, use hands to handle or feel, talk and hear
  • Frequently required to reach with hands and arms
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

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.

Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page 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.

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Job Profile

Regions

North America

Countries

United States

Restrictions

Must be eligible to work in the United States 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 work visa Tobacco-free workplace

Benefits/Perks

Additional compensation Incentives Reasonable accommodations Tobacco-free workplace

Tasks
  • Address escalated client issues
  • Build relationships
  • Edit
  • Execute talent management
  • Maintain processes and procedures
  • Manage quality metrics
  • Manage team workload
  • Monitor team workload
  • Problem solving
  • Provide Subject Matter Expertise
  • Review
Skills

Analytical Benefits Business Claims Claims processing Communication Compensation Decision making E-prescribe Healthcare Insurance IT Leadership Metrics Operations Operations Management Pharmacy benefit management Problem-solving Project leadership Quality Metrics Research Retail Rxclaim Talent Management Teams Training

Experience

3 years

Education

Bachelor's Bachelor's degree Business GED High school diploma HS Diploma Insurance IT Related area

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9