Care Operations Manager
Core
Build SLAs, KPIs, and workflows for eligibility, prior authorization, documentation, and partner coordination in specialty pharmacy operations.
Role type
Senior IC Care Operations Manager transitioning to team lead
Builds
Operational rigor, QA processes, tracking for funnel velocity and throughput, live dashboards
Domain
Healthcare / Specialty Pharmacy / Employer Benefits
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Specialty pharmacy operations, prior authorization management, SLA/KPI design, vendor relationship management, team scaling, workflow redesign, compliance documentation
Preferred skills
Home infusion experience, self-insured employer plans, clinical license (RN/PharmD), multi-state nursing coordination, healthcare startup background
Technologies
None explicitly stated
Responsibilities
Hire and manage Care Operations Associates; handle escalated PA denials and appeals; build and enforce SLAs/KPIs; design QA processes; manage specialty pharmacy and staffing agency partnerships; partner with Engineering and Data teams on automations and dashboards
Seniority
Senior, hands-on IC transitioning to manager