Hybrid Operations Manager – Medicaid PBM Services

Posted 1 hour ago

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About the role

  • Operations Manager overseeing onsite operational and technical service delivery for a Medicaid PBM program in Boston, MA. Ensuring compliance, efficient operations, and stakeholder communications.

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.
  • Bachelor’s degree in a related field (preferred).
  • PBM or Medicaid program experience (preferred).
  • Knowledge of NCPDP standards and healthcare IT interoperability (preferred).
  • Project management experience (preferred).

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.

Job title

Operations Manager – Medicaid PBM Services

Job type

Experience level

Mid levelSenior

Salary

$89,436 - $116,150 per year

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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