Navitus Health Solutions

Operations Director – SPBM

Navitus Health Solutions

full-time

Posted on:

Location Type: Office

Location: Earth City • Montana • United States

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Job Level

Lead

About the role

  • Oversee financial outcomes, including claims loading, adjudication, and payments
  • Manage all aspects of operations and ensure efficiency
  • Develop and implement strategic plans aligned with company objectives
  • Meet financial and performance goals, including budget preparation
  • Provide vision for call center goals and lead a multi-site team
  • Foster a collaborative, employee-focused work environment
  • Provide ongoing formal training to team members
  • Supervise managers and supervisors to enhance performance
  • Conduct data analysis and present insights to stakeholders
  • Establish and monitor key performance indicators (KPIs)
  • Implement best practices to optimize effectiveness
  • Drive process improvements for scalability and efficiency
  • Manage projects across functions and support corporate initiatives
  • Collaborate with departments like clinical, IT
  • Own pharmacy and vendor relationships for claims processing, call routing, reporting, and communication
  • Foster a customer-centric culture and enhance customer satisfaction
  • Oversee call center operations, ensuring service quality and adherence to metrics
  • Implement strategies for customer loyalty and consistency in messaging

Requirements

  • 5+ years in healthcare-related operations roles
  • Preferred knowledge of Pharmacy Benefit Management (PBM) operations and industry
  • Strong strategic thinking and problem-solving abilities
  • Ability to prioritize work for cross-functional teams
  • Excellent people leadership skills with servant leadership attributes
  • Proficiency in Microsoft Office, email, and internet tools
  • Experience in Call Center Software Management
  • Expertise in Operations Team Management
  • Strong verbal and written communication, presentation, and negotiation skills
  • Ability to engage with stakeholders effectively
Applicant Tracking System Keywords

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

Hard Skills & Tools
data analysisbudget preparationkey performance indicators (KPIs)process improvementsproject managementclaims processingcall routingreportingcustomer loyalty strategiesPharmacy Benefit Management (PBM)
Soft Skills
strategic thinkingproblem-solvingpeople leadershipservant leadershipprioritizationcommunicationpresentationnegotiationcollaborationcustomer-centric focus