Manager, Client Services Operations (Healthcare)

Location: San Diego, CA; the position works on-site at the San Diego headquarters or another company location, with remote work available with management approval based on business requirements. Domestic travel of up to 20% is required.

Salary: $81,581–$110,136–$138,690 annually.

Company

hirify.global is a privately held pharmacy benefit manager providing pharmaceutical and technology-related solutions to payers, providers, and consumers in the U.S. and foreign markets.

What you will do

• Lead the vision, goals, strategies, and objectives for an assigned pharmacy benefits management business line and its client services organization.
• Manage Account Managers and oversee client-specific account plans covering service delivery, performance, membership growth, profitability, and customer satisfaction.
• Ensure service agreements and performance guarantees are met, coordinate financial restitution activities, and manage deliverables within budget and quality expectations.
• Oversee client team projects, including annual Part D re-implementations and other business maintenance implementations.
• Resolve escalated client issues, communicate with client management, and develop methods to improve customer satisfaction and retention.
• Support account growth, RFP responses, product and service opportunities, budgets, policies, training, and collaboration across business units.

Requirements

• BS/BA degree or equivalent plus 7+ years of experience.
• 3+ years of subject-matter expertise in the relevant area and 3+ years of supervisory experience. Four years of hirify.global experience plus an appropriate external leadership training program and internal mentorship with a seasoned Director-or-higher leader, completed within 12 months in the new position, may substitute for the supervisory experience requirement.
• For self-insured business: experience in the self-insured benefits arena, preferably with employers, private-label PBMs, cash cards, or related entities.
• For managed-care business: experience in managed-care benefits, preferably with a PBM or managed healthcare services serving national or regional managed-care organizations, insurance companies, or other healthcare entities.
• Superior knowledge of PBM or managed healthcare services; Medicaid and Medicare experience is desired for managed-care business.
• Intermediate to advanced knowledge of Microsoft Word, Excel, Visio, PowerPoint, and Outlook, with experience using multiple software applications and processing systems.
• Demonstrated proficiency in key internal business applications such as MedOptimize and Golden 32 within six months of active employment.
• Management experience directing a high-performance organization and contributing to product, program, and company success.
• Excellent communication, organization, prioritization, decision-making, problem analysis, negotiation, team-building, leadership, confidentiality, attention-to-detail, follow-through, requirements-gathering, and client-specification skills.

Nice to have

• Pharmacy Technician license or national certification.
• Experience with Medicaid and Medicare.

Culture & Benefits

• Team-oriented environment focused on high performance, collaboration, accountability, and ownership.
• Medical, dental, vision, and wellness programs.
• Paid time off and company-paid holidays.
• 401(k) with company match, life and disability insurance, and incentive compensation.
• Tuition reimbursement and employee referral bonus.
• Flexible working hours may include nights, weekends, or holidays when business needs require; typical core hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.