Senior Manager, Performance and Quality
Core
Lead proposal development, formal client responses, and coordinate audit responses for healthcare/PBM accounts, ensuring contract commitments and performance guarantees are met.
Role type
Senior Manager, Proposal & Quality Operations
Builds
Proposal strategies, client response plans, audit evidence packages, and corrective action plans for healthcare accounts.
Domain
Healthcare / Pharmacy Benefit Management (PBM)
Required skills
Proposal strategy, RFP/RFI management, audit coordination, contract compliance, project management, stakeholder partnership, quality assurance, corrective action planning, market research, documentation.
Preferred skills
PBM/health plan/government program experience, audit/regulatory coordination, pricing validation, proposal/project management certification.
Technologies
Microsoft Excel, Word, PowerPoint, SharePoint, proposal content-management tools
Responsibilities
Develop proposal strategies and response plans for renewals, RFPs, and contract amendments; manage end-to-end submission of proposals and formal client responses; partner with leadership to define value propositions and validate pricing/commitments; write client-ready narratives and represent the team in client meetings; lead project management for implementations and account changes; research client needs and market trends; implement standardized templates and quality checklists; support contract negotiations and document decision rationales; own the audit request log and coordinate evidence production; perform quality reviews of audit responses; maintain internal corrective action plans (CAPs) and track audit findings.
Seniority
Senior, hands-on IC with team coordination