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.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLSDLCdata exchangesoperational reportingperformance metricsissue resolutionrelease managementhealthcare systemsproject managementNCPDP standards

Soft Skills

customer-facing operations leadershipoperational change initiativescommunicationcoordinationmonitoring performance