AffirmedRx, a Public Benefit Corporation

Client Operations Manager

AffirmedRx, a Public Benefit Corporation

full-time

Posted on:

Origin:  • 🇺🇸 United States • Kentucky

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Job Level

Mid-LevelSenior

About the role

  • Serve as the primary point of contact for day-to-day operational inquiries from clients and internal teams
  • Oversee benefit design setup, annual updates, testing, and processing of change requests
  • Partner with internal teams to resolve member-specific issues, including prior authorization (PA) denials, pharmacy processing errors, and eligibility concerns
  • Coordinate member communications, ensuring timely approvals and accurate delivery of materials
  • Maintain organized client materials, including benefit summaries, plan documentation, and project trackers
  • Track, document, and report on the status of client requirements and operational timelines
  • Coordinate accordingly to ensure internal and external data needs are met, timely and accurately
  • Partner with internal teams (e.g., Implementation, Clinical, Operations) to ensure accurate execution of client requirements
  • Support onboarding processes for new client implementations, annual benefit design changes, and benefit updates as needed
  • Participate in internal meetings and projects to support client performance and continuous process improvement
  • Address system configuration issues, vendor coordination, and shared NPI reporting
  • Monitor accumulators and ensure compliance with PA turnaround times and other regulatory metrics
  • Escalate complex issues and collaborate with leadership to ensure resolution aligns with client expectations

Requirements

  • Bachelor’s degree in Healthcare, Business Administration, Operations Management, or a related field
  • 3–5 years of experience in client operations, healthcare administration, or pharmacy benefit management
  • Strong organizational skills and attention to detail, with excellent written and verbal communication abilities
  • Proven ability to manage multiple priorities in a fast-paced environment
  • Proficiency in Microsoft Office Suite; familiarity with Salesforce preferred
  • Team-oriented mindset with a strong commitment to delivering exceptional client service
  • Willingness to travel (25–30%)