Manager, Client Operations - PBM

• Position ID #: PBMOPS041020NYC
• Location: New York City
• Required Education: Bachelor's Degree
• Salary Range: Competitive
• Required Experience: Five Years
• Commission Range: Bonus
• Other: Benefits, Equity
• Required Travel: N/A
• Relocation: Yes
• 
  Description:
   
  Rapidly Growing Player in the Pharmacy Benefits Management (PBM) marketplace seeks a Client Operations Manager) support ongoing operations’ needs, and collaborate with client management to implement process-improvement recommendations.
  
  The compensation plan includes a competitive salary, plus bonus and benefits.
  
  This position will be ideally filled “in-house” in the Company’s corporate office in NYC.  
  
  Some of the expected job functions include:
  • Support implementation and client management teams with all day-to-day client requirements
  • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations
  • Analyze incoming client requests and work with internal and external teams to complete required plan documentation
  • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
  • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
  • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
  • Handle and resolve sponsor and member issues, escalating as needed
  • Research and respond to claims processing and system configuration inquiries
  • Coordinate integration of other data inputs into client management processes
  • Collaborate cross functionally to support general client operations, as required
• 
  Requirements:
  The ideal candidate for this position has at least five (5) years of documented Account Operations Management success in the Managed Care Industry, (with STRONG preference for the PBM market). Significant experience in client interfacing with Brokers and Consultants is critical to achieving retention/growth success
     
  Key Qualities:
   
  Undergraduate bachelor’s degree, with record of strong academic performance
   
  Advanced degree preferred, but not required
   
  5 years of proven experience in client engagement in the PBM / health plan, benefits consulting, financial consulting. settings,
   
  Proficient in MS Office, SQL also highly desired
   
  Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
   
  Ability to balance multiple complex projects simultaneously
   
  Exceptional written and verbal communication skills
   
  Extremely flexible, highly organized, and able to shift priorities easily
   
  Attention to detail & commitment to delivering high quality work product
  
  Qualified candidates should send their resumes in MS Word format to:
  mail@phoenixhealthsearch.com 
    
  Visit: www.phoenixhealthsearch.com