Client Operations Manager
AffirmedRx, a Public Benefit Corporation
full-time
Posted on:
Location: Kentucky • 🇺🇸 United States
Visit company websiteJob 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%)