Manager, Assistant Operations

About the role

The Manager Assistant Operations oversees the day-to-day operations of the Pricing Specialist Staff, ensuring tasks are completed timely and accurately. This role requires a working knowledge of all Pricing Specialist processes to assist in task completion, including daily review of MAC drug pricing performance, Pharmacy Contract performance, and Client Contract performance. The Assistant Operations Manager maintains MAC drug pricing in the PBF system for pharmacy pricing appeals and routine updates, ensures compliance with state and federal regulations, and updates policies and procedures for Pricing Specialists within Provider Relations.

Responsibilities

• Coordinate, supervise, and ensure accountability for the daily, weekly, and monthly activities of team members.
• Meet day-to-day performance objectives and set priorities for the team to ensure task completion and performance goals are met.
• Develop training and support documentation to ensure Pricing Specialist Staff are properly trained.
• Create procedural desktops to outline task steps and assist with process training.
• Monitor project completion dates, job tracking, and provide status updates as needed.
• Conduct periodic retraining of staff at least annually.
• Assist in the development and implementation of new clients and provide support for escalated issues.
• Troubleshoot and resolve complex Pharmacy requests.
• Maintain strong working relationships with co-workers and managers to support a cohesive team atmosphere.
• Proactively report repeat complications due to systems, policies, or technological deficiencies.
• Coordinate work activities with other supervisors, managers, and departments.
• Identify and resolve operational problems using defined processes, expertise, and judgment.
• Provide coaching, feedback, and formal corrective action to team members.
• Conduct annual performance reviews for team members.
• Provide expertise and customer service support to members, customers, and providers.
• Adhere to all State and Federal HIPAA guidelines.
• Perform customer service and quality assurance duties.
• Other duties as assigned.

Requirements

• Bachelor’s Degree or equivalent work experience.
• One plus years of Provider Relations experience is preferred.
• Three years of leadership experience in an operations environment preferred.
• Ability to multitask on several high-priority tasks simultaneously.
• Excellent written and oral communication skills.
• Ability to work in a fast-paced environment with a flexible schedule, including nights or weekends as needed.
• Strong Microsoft Office Suite (Word, Excel, Access) experience and skills.
• Proficiency with database management tools and data analysis presentation.
• COGNOS Business Software knowledge is preferred.
• 2 to 3 years of drug pricing review experience.
• 2 to 3 years of pharmacy contract experience.

Skills

• Exceptional interpersonal and organizational skills.
• Detail-oriented, dependable, and motivated.
• Acute attention to detail.
• Strong problem-solving ability and analytical skills.
• Ability to work in a team environment.