Manager, Benefit Operations Testing & QA
Core
Leading a team of benefit configuration specialists to build, manage, and maintain pharmacy benefit plans across various platforms while ensuring high-quality delivery and process improvements.
Role type
Manager, Benefit Operations Testing & QA
Builds
Pharmacy benefit plans on various platforms
Domain
Health-Tech / Pharmacy Benefit Management (PBM)
Deliverable
product features
Required skills
Team leadership and coaching, Benefit configuration, Claims processing, Document management, Process improvement, Data integrity monitoring, Client requirement analysis, Performance management, Workflow optimization, Escalation handling
Preferred skills
Remote team management, Executive-level communication, Conflict mediation, Mentoring less-experienced employees, Operational excellence, Adaptability in fast-changing environments
Technologies
Various pharmacy benefit platforms
Responsibilities
Manage team members in the delivery of benefit configuration, testing, and documentation; Manage employee performance through scorecards and metrics; Provide ongoing feedback and coaching; Schedule employees and track productivity; Participate in process and workflow improvement initiatives; Work with clients to build and maintain pharmacy benefit plans; Monitor plan data integrity; Provide leadership support for complex configuration requests; Communicate project status to leadership; Ensure timely resolution of inquiries from internal teams.
Seniority
Manager, hands-on leadership