Supervisor, RxCompass Operations

Posted 9hrs ago

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Job Description

RxCompass healthcare operations supervisor overseeing pharmacy-program queues, metrics, and frontline care teams. Coaching staff and resolving member-service issues across pharmacy benefits workflows.

Responsibilities:

  • Monitor and manage daily RxCompass operational queues to ensure timely processing and service level adherence
  • Ensure coordinators actively work assigned queues and meet turnaround expectations
  • Review queue aging, backlog, and case status to maintain operational flow and prevent service delays
  • Rebalance workloads to ensure equitable distribution of work
  • Monitor team KPIs, including productivity, queue throughput, quality scores, adherence, and service levels
  • Conduct regular performance check-ins and provide real-time coaching
  • Escalate performance concerns and systemic operational issues to the Manager
  • Ensure team members follow established workflows and SOPs
  • Track and address aging cases or unresolved items
  • Ensure accurate documentation of case activity and system records
  • Serve as the first escalation point for complex member cases and service issues
  • Assist with barriers related to prescriptions, pharmacies, physicians, or program eligibility
  • Support onboarding and training of new coordinators and navigators
  • Promote accountability, professionalism, and member-first service culture
  • Collaborate with Pharmacy Operations, Claims, Client Services, and other internal teams
  • Provide feedback on workflow improvements and support new process or program implementations
  • Directly supervise Care Coordinators, Care Navigators, and related frontline operational staff
  • Provide the Manager with feedback regarding staffing needs, performance concerns, and operational improvements
  • Comply with HIPAA obligations concerning Protected Health Information (PHI)

Requirements:

  • 3–5+ years experience in healthcare operations, pharmacy benefits, specialty pharmacy, or related field (preferred)
  • 1–3+ years leadership experience supervising frontline teams (preferred)
  • Strong understanding of queue management and service-level driven environments
  • Ability to monitor operational metrics and coach team members to improve performance
  • Strong organizational and prioritization skills
  • Excellent communication and coaching abilities
  • Ability to manage competing operational demands in a fast-paced environment
  • Proficiency in Microsoft Office and operational reporting tools
  • Knowledge of HIPAA compliance and member data protection requirements
  • Bachelor’s degree preferred
  • Relevant healthcare, pharmacy benefit management, or specialty pharmacy operations experience preferred
  • Experience working in high-volume service environments with defined SLAs
  • Ability to work 10:00 AM–7:00 PM CST, with schedule adjustments for meetings across all time zones
  • Ability to work extended hours, weekends, and holidays pursuant to industry demands
  • Required HIPAA training attendance, completion, and demonstrated competency
  • Must report discovered HIPAA violations to the Compliance Officer and/or Human Resources

Benefits:

  • High Medical, Dental, Vision Insurance
  • Disability and Life insurance
  • Employee Assistance Program
  • Remote work options
  • Generous Paid-Time Off
  • Annual Reviews and Development Plans
  • Retirement Plan with company match immediately 100% vested