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18 часов назад

Business Solutions Operations Manager

102 260 - 140 608$
Формат работы
remote (только USA)/onsite
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Business Solutions Operations Manager (Healthcare Operations/AI): Coordinating business and technical initiatives across operations, product, account management, implementation, technology, and external stakeholders with an accent on client implementations, claims processing, regulatory initiatives, and operational issue resolution. Focus on translating business needs into scalable solutions, managing risks and dependencies, and improving processes through AI-enabled business tools.

Location: San Diego, CA; primarily on-site at the San Diego Headquarters or another company location. Remote work may be permitted with management approval based on business requirements. Requires up to 10% domestic travel and flexibility for nights, weekends, or holidays when needed.

Salary: $102,260–$178,955 per year.

Company

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

What you will do

  • Act as a business and technical liaison across Operations, Product, Account Management, Implementation, Technology, and internal and external stakeholders.
  • Coordinate client implementations, eligibility and claims processing, operational and production issues, regulatory initiatives, data concerns, and enterprise projects.
  • Analyze business needs, evaluate impacts and solution options, translate objectives into scalable business solutions, and drive matters through resolution.
  • Track and document assigned issues, initiatives, decisions, risks, dependencies, action items, and timelines in business systems.
  • Build stakeholder relationships, coordinate with clients, vendors, business partners, and subject-matter experts, and provide strategic visibility to leaders.
  • Support process improvement, operational readiness, governance, efficiency, quality, and communication through responsible use of emerging technologies, including AI-enabled tools.

Requirements

  • BS/BA and 9+ years of experience, or an equivalent combination of education and experience, including 6 years as a subject-matter expert in the respective areas.
  • Advanced proficiency with Microsoft 365 applications and platforms for collaboration, productivity, reporting, knowledge management, and AI-enabled business solutions.
  • Strong written and oral communication, organization and prioritization, decision-making, problem analysis and resolution, negotiation, team building, leadership, facilitation, and collaboration skills.
  • Ability to drive cross-functional teams through alignment, decision-making, accountability, and resolution while delivering projects on time and within budget.
  • Thorough understanding of business process analysis and business requirements definition, with working knowledge of process mapping techniques.
  • Ability to define problems, collect data, establish facts, draw valid conclusions, and apply logical or scientific thinking to practical problems.
  • Ability to present complex or controversial information effectively to management, clients, customers, public groups, and boards.
  • Ability to work independently, follow company policies and procedures, meet deadlines, adapt to changing priorities, and support internal and external clients.

Nice to have

  • Working knowledge of the hirify.global ecosystem, business functions, and application programming interfaces (APIs).

Culture & Benefits

  • Collaborative, high-performance environment focused on healthcare value, teamwork, innovation, and client outcomes.
  • Medical, dental, vision, and wellness programs.
  • Paid time off, company-paid holidays, life and disability insurance, and a 401(k) with company match.
  • Incentive compensation, tuition reimbursement, and employee referral bonus.
  • Exempt position with typical core hours Monday through Friday, 8:00 a.m. to 5:00 p.m.; schedules may change to meet business needs.

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