Operations Manager – Medicaid PBM Services
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Job Description
Operations Manager overseeing service delivery and operations for Conduent's Medicaid PBM program. Ensuring compliance and collaboration with State Medicaid stakeholders.
Responsibilities:
- Oversee daily operations across call center, provider relations, mail services, drug rebate, and clinical support functions.
- Serve as primary liaison with State Medicaid stakeholders.
- Ensure service delivery meets contractual, operational, and compliance requirements.
- Coordinate with technical teams on system support, issue resolution, and release management.
- Support operational reporting, data exchanges, and audits.
- Monitor performance metrics and implement improvements as needed.
- Lead and support operational change initiatives.
Requirements:
- Minimum of 4 years’ experience leading operational teams in Medicaid, PBM, or healthcare environments.
- Strong customer-facing operations leadership.
- Experience with healthcare systems, data exchanges, and service delivery.
- Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Understanding of SDLC (Software Development Life Cycle) processes.
- Basic to intermediate SQL skills for reviewing or troubleshooting data.
Benefits:
- Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
- Retirement Savings: We will support you as you save for your future.
- Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
- Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
- Paid Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
- Paid time off: We provide attractive paid time off packages designed for you to enjoy your life away from work.
- Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
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