Operations

• The Operations Manager reports directly to the Vice President of Learner Development.
• You will be the primary execution partner to the Sr. Director of Product Operations, promoting program operations, managing Learner Development Team (LDT) resource allocation, and managing learner experience and pilot logistics.
• You will focus on project management, capacity planning, process tracking, and operational coordination
• Prepare operational reports and dashboards for MAS leadership review and presentation.
• Be a first contact for operational coordination questions across the MAS team.
• Manage resource planning, priority negotiation, and milestone timeline tracking execution for the LDT team.
• Track LDT workstream progress by managing cross-functional reporting and visibility.
• Provide cross-functional visibility into LDT capacity and availability.

Operations Manager, Matter and Space

• Play a highly visible leadership role in a growing and important part of the business
• Lead meaningful transformation across claims operations, service delivery, digital enablement, and process improvement
• Work with a collaborative, high-performing team that values accountability, development, and a strong service mindset
• Partner with leaders across Product, Technology, Legal, Compliance, Finance, Customer Experience, and Operations to deliver better outcomes for clients and claimants
• Execute a forward-looking claims strategy aligned with enterprise objectives, client needs, and market expectations
• Lead modernization initiatives that improve speed, quality, consistency, and the overall claimant and client experience
• Establish clear operational performance standards, KPIs, quality benchmarks, and operating rhythms to drive accountability and continuous improvement
• Oversee day-to-day claims operations across multiple product lines, ensuring work is handled accurately, efficiently, and with strong service discipline
• Ensure seamless handling of complex, high-visibility, or escalated claims and service matters
• Drive continuous process improvement using data insights, Agile and Lean practices, automation, and workflow optimization
• Monitor operational capacity, resource allocation, service levels, productivity, quality, and risk indicators
• Lead, coach, and develop claims managers and team members, creating an environment where people can do their best work and grow their careers
• Foster a culture of accountability, inclusion, collaboration, service excellence, and continuous learning
• Ensure adherence to federal and state regulations, internal policies, contractual obligations, and industry standards

Associate Director – Supplemental Health Claims Operations

• Drive enterprise‑level storytelling and executive communications, spanning EC and Board materials, operating model deployment, and internal events, to consistently articulate strategy, progress, and performance against key milestones and metrics.
• Shape and maintain a cohesive internal strategy narrative for Data Science & Digital Health.
• Translate complex data science, AI, and digital health strategy into clear, executive‑ready communications.
• Develop high‑impact materials for Executive Committee and Board of Directors engagements.
• Support internal leadership communications, including town halls, strategy sessions, and enterprise updates.
• Communicate DSDH operating model, milestones, metrics, and progress with clarity and consistency.
• Partner closely with peers to ensure internal narratives reflect broader industry context alongside internal messaging.
• Develop and maintain internal stakeholder mapping to tailor communications and engagement strategies.

Director, Strategy & Operations

• Coordinate, prepare, animate performance workshops focused on cycle time reduction, yield improvement, complex problem solving, and launch readiness.
• Lead and coordinate execution of related action plan
• Act as performance partner for one or more EM&S business units by attending leadership team meetings and performance rituals, supporting early detection of performance gaps and improvement opportunities, and driving prioritization and execution of initiatives
• Deploy and maintain the EM&S performance management system according to SMS 2.0 standards, including +QDCI, Team Board, and GPS3 board
• Contribute to SMS upskilling program including training, certification, and coaching activities
• Champion cultural change in continuous improvement, change management, and problem-solving methodologies

Operational Excellence Performance Lead

• Lead the resiliency strategy for all new factory builds and factory expansions, ensuring facilities are designed for disaster recovery, business continuity, operational robustness, agility, and future scalability.
• Drive the integration of resiliency requirements into architectural, engineering, and construction plans, including utilities, automation, technology infrastructure, environmental controls, and redundancy systems.
• Conduct risk assessments and lead mitigation plans to ensure site selection and design decisions reduce exposure to operational disruption.
• Define and implement the smart factory strategy, including the technical roadmap for architecture and infrastructure, ensuring alignment with enterprise growth and operational objectives.
• Design and deploy advanced digital solutions to optimize factory planning, construction, and operations, integrating digital engineering, digital twin, predictive analytics, and smart factory technologies.
• Design and deploy support systems to sustain high levels of uptime and performance for Manufacturing & Supply Chain Applications, Industrial Internet of Things (IIoT), automation and robotics, artificial intelligence (AI), machine learning, digital twin technology, and smart supply chain systems to enhance production efficiency and enable real-time decision-making.
• Collaborate with executive leaders across digital, cyber security, engineering, manufacturing/operations, supply chain, quality, and enterprise services to transform traditional manufacturing processes into state-of-the-art, digitally enabled production ecosystems.

Director, Operations Resiliency, Capacity Growth

• Map how merchandising actually works today, not how the org chart says it works.
• Redesign core operating processes for speed, accuracy, and margin protection: assortment planning, item setup, pricing and markdown, vendor and PO management, allocation, replenishment.
• Own the calendar connecting marketing activations to inventory, so launches are stock-backed, not a surprise to the warehouse.
• Translate activation plans into buy, allocation, and replenishment signals; flag stock risk before launch, not after.
• Coordinate vendor commitments tied to activations: fill rates, lead times, launch quantities.
• Build self-service tools and proactive alerts that scale the buyer-vendor relationship, including visibility into vendor performance.
• Build the automation yourself, using Claude and comparable AI tools, no/low-code platforms, and lightweight automation, from concept through rollout.
• Run pilots end to end: scope, build, test for accuracy, validate fit, scale. Keep humans in the loop on margin- and inventory-critical decisions.
• Maintain a registry of approved tools and active automations, so what exists and what it's for is never a mystery.
• Own change management for every rollout: training, AI literacy for non-technical audiences, office hours, a bench of power users.
• Build reporting on process and automation performance, and use it to prioritize what gets built next.

Merchandising Operations Manager

• Provides strategic and operational leadership for Upstream’s Development and External Affairs department
• Ensures the systems, planning processes, and team coordination to achieve revenue goals
• Leads the operating strategy for the Development & External Affairs team
• Integrates donor engagement strategy with organization strategy
• Oversees team systems and operations
• Tracks progress toward goals and recommends adjustments
• Leads fundraising activities and donor communications
• Oversees operational prioritization and donor engagement strategies
• Develops annual operating plan goals and KPIs for the team
• Oversees training for transformational fundraising capabilities

Vice President of Development, External Affairs Strategy, Operations

• Prepares regular and ad hoc integrated data mining and analyses for sales management to facilitate identifying potential sales and marketing opportunities.
• Responsible for publishing standard reports to the field sales organization and other internal groups for inventory tracking purposes.
• Build Power BI reporting, in-depth knowledge of data modeling is required.
• Analyzes and interprets both internal and external factors that affect sales performance.
• Provides insights to sales and marketing management on sales force effectiveness.
• Troubleshoots inquiries about account alignments and performance data and provides counsel and actionable information.
• Develops and conducts training in the effective use of data (third party and contracted), applications, and tools provided to make a difference in sales results produced.
• Develops and conducts training on inventory management and best practices to field sales partners on an ongoing basis.
• Develops and administers special projects.
• Prepares presentations and reports to support sales conferences/meetings.
• Utilizes or coordinates business systems to gather key information on sales, cost, and key activity information.
• Supports Field Sales Organization (FSO) via data target tracking and regular communication with Regional Managers and Field Representatives.
• Assists FSO with annual audits and inventory.
• Oversee inventory governance including returns, restock discipline, and inventory transfers.
• Serve as a subject matter expert for inventory operations and managing escalations.
• Mentor junior team members and provide leadership guidance.

Senior Commercial Operations Specialist

• Serve as a strategic operations leader responsible for strengthening inventory management practices
• Enhance reporting and analytics, and the overall effectiveness, scalability, and financial discipline of the Sports model
• Translate business priorities into executable processes that support sales growth initiatives
• Provide analytics that drive actions and develop solutions for efficient sales operations
• Build effective working relationships across sales leaders, supply chain, finance, and cross-functional stakeholders
• Prepares regular and ad hoc integrated data mining and analyses for sales management
• Responsible for publishing standard reports for inventory tracking
• Build Power BI reporting, with in-depth knowledge of data modeling
• Analyzes and interprets internal and external factors affecting sales performance
• Troubleshoots inquiries about account alignments and performance data
• Develops and conducts training on data usage and inventory management best practices
• Prepares presentations and reports to support sales conferences/meetings
• Supports Field Sales Organization (FSO) via data target tracking and regular communication
• Assists FSO with annual audits and inventory
• Oversee inventory governance including returns, restock discipline, and inventory transfers
• Mentor junior team members and provide leadership guidance

• Drive business development for new franchise and MSA (Managed Service Agreement) club locations
• Lead and facilitate monthly Sales and Operations Review calls focused on KPI performance
• Oversee website strategy for all Franchise and MSA clubs
• Collect, organize, and analyze quarterly financial statements for all non-MSA franchise locations
• Serve as the primary liaison and strategic advisor to Franchise Owners
• Conduct weekly check-ins and lead structured monthly performance reviews
• Analyze KPIs and financial statements to identify growth opportunities
• Support new club development including site approvals, territorial mapping, and SWOT analysis
• Conduct regular in-market visits to ensure operational excellence and brand compliance
• Provide coaching to improve sales, membership growth, EBITDA, and operational efficiency

Director – Franchise Operations

• Reporting to the Coding Operations Director, the Coding Operations Manager is responsible for providing operational leadership and oversight of assigned coding functions across the organization.
• Direct management responsibility over assigned coding operations.
• Ensures coding activities comply with organizational productivity, quality, compliance, and turnaround time expectations.
• Collaborates with Revenue Integrity and Patient Financial Services to resolve coding-related billing edits and reduce reimbursement delays.
• Maintains extensive knowledge of National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), National Correct Coding Initiative (NCCI) edits, and applicable federal and state regulatory requirements affecting coding and reimbursement.
• Achieves organizational coding quality and reimbursement accuracy goals through accurate assignments of coding methodologies.
• Schedules staff, manages staffing assignments, and monitors coding productivity.

Manager – Coding Operations

• Supervise and lead a team of claim operations staff, prioritizing and assigning work
• Oversees day-to day operations of the teams’ activities including workload distribution of new claims
• Ensures timely and accurate processing of loss and expense payments
• Review and approve complex or escalated issues
• Collaborate with other departments, to streamline processes, resolve customer inquiries
• Conduct regular performance evaluations, provide feedback
• Stay updated on industry trends, changes in regulations

Claim Operations Supervisor

• Lead the development and execution of the US Medical strategy across the Neuropsychiatry portfolio, encompassing multiple marketed products and late-stage development assets.
• Serve as the primary medical point of contact for Neuropsychiatry across US Commercial, Market Access, Global Medical, and Regulatory organizations.
• Oversee field medical strategy and operations for the Neuropsychiatry franchise, including Field Director and MSL teams.
• Provide leadership and strategic oversight for scientific content development, external stakeholder engagement, congress strategy, publications, and advisory boards.
• Ensure medical input is embedded in key cross-functional activities including lifecycle management, launch planning, and field enablement.
• Champion the integration of patient and HCP insights into strategic and tactical planning, ensuring a data-driven and customer-centric approach to decision-making.
• Lead with a performance-driven mindset, promoting accountability, innovation, and excellence across the Neuropsychiatry medical team.
• Mentor and develop medical affairs talent through intentional coaching, career path planning, and succession development.
• Represent Neuropsychiatry in cross-functional governance, promotional review committees, and compliance processes, ensuring rigorous execution and alignment with regulatory expectations.
• Manage and oversee the Neuropsychiatry medical budget, ensuring efficient resource utilization and investment in areas of highest impact.

Head of Neuropsychiatry

• Review and approve new accounts, ensuring all documentation, regulatory, and internal control requirements are satisfied prior to account establishment
• Perform supervisory review as a Series 24 principal, including exception approvals and escalation support
• Execute and oversee account maintenance activities, including ownership changes, beneficiary updates, registrations, and account attribute modifications
• Support and manage complex account structures, including trusts, estates, corporate entities, partnerships, and multi-party accounts
• Assist with lifecycle events, including death processing, estate distributions, and ownership transitions
• Ensure accurate capture and maintenance of beneficial ownership, control persons, authorized parties, and tax documentation (W 9/W 8)
• Partner closely with Client Service and advisors to address inquiries, resolve issues, and clarify documentation requirements
• Support inbound advisor requests, delivering timely, accurate, and high-quality servicing for both standard and non-standard scenarios
• Identify, assess, and escalate risk, documentation gaps, or inconsistencies in accordance with supervisory expectations
• Assist in processing and supporting ACATS and non-ACATS transfers, ensuring proper documentation and control
• Coordinate with and initially perform across Cashiering, Transfers, and account operations; as the platform scales, help stand up domain-specific functions with the opportunity to evolve into a dedicated leader within those areas
• Contribute to the development and refinement of workflows, procedures, and controls across onboarding and maintenance processes
• Leverage Salesforce and AI-enabled workflows to improve efficiency, reduce manual effort, and enhance turnaround times
• Maintain strong documentation and audit readiness across all activities

Account Operations Principal, Assistant Vice President – Wealth Custody & Clearing

• manage a team of patient operations managers
• work cross-functionally with leaders across FuzeRx to translate our technology infrastructure into measurable operational performance
• oversee the performance and growth of the Patient Operations Care team
• establish requirements for reporting and capabilities while driving initiatives to ensure a seamless patient experience across our automated dispensing and API-integrated platforms
• lead operational excellence across central fill pharmacy networks and courier delivery operations
• establishrequirements for capabilities and reporting, collaborating cross-functionally to deliver data-driven insights
• analyze data to forecast staffing needs based on program performance, optimizing resource allocation across multiple roles
• lead a large team of managers, supervisors and team members, establishing an environment of positive employee engagement and experience

Director, Central Operations

• Execute and operationalize the GBU's strategic planning decisions in line with the company’s strategic and financial planning calendar
• Design and maintain GBU-level operational KPIs and metrics that support the execution of strategic objectives
• Track the delivery of strategic initiatives and priorities against milestones
• Help design and execute the operational governance framework
• Own the operating model and ways of working of the Strategy & Operations function

Operations Lead – Strategy & Operations, Specialty Care

• Matrix Leader of Cross-functional Compound Development Team;
• Works with TA Leadership Team to develop compound strategy
• Leads the development and maintenance of the program plan and decision-making by providing relevant research, analysis, and expertise
• Manages successful cross-functional execution of the project plan through negotiating with Function heads about functional deliverables
• Aligns the CDT to achieve its goals through the networks of people/functions represented on the team
• Identifies critical risks and assumptions and transparently communicate them to the CDT, functions, TA & Pharma governance committees, and senior management
• Identifies issues and leads contingency planning
• Leads resolution of issues at the CDT, TA & Pharma governance committees and senior management levels
• Leads CDT problem-solving and provide decision-making tools and techniques
• Leads the communication of strategy and plans to the TA & Pharma governance committees, development partners, and other key stakeholders
• Responsible for review of medical publications emerging from the Team and its affiliates
• Accountable for the budget for the compound or program
• Works with Function heads to: Select CDT members Set Goals and Objectives for CDT members Mentor and guide CDT members Provide input for performance evaluation of CDT members Execute the program and manage deliverables & financials
• May act, in concert with senior clinical personnel, as a company spokesperson regarding publication of clinical research findings and presentations to relevant health authorities (e.g. global health authority meeting related to NDA/MAA/BLA)
• Develop credible relationships with scientific leaders, key regulatory officials

Senior Director, Compound Development Team Leader – Neuropsychiatry

• Matrix Leader of Cross-functional Compound Development Team;
• Works with TA Leadership Team to develop compound strategy
• Leads the development and maintenance of the program plan and decision-making by providing relevant research, analysis, and expertise
• Manages successful cross-functional execution of the project plan through negotiating with Function heads about functional deliverables
• Aligns the CDT to achieve its goals through the networks of people/functions represented on the team
• Identifies critical risks and assumptions and transparently communicate them to the CDT, functions, TA & Pharma governance committees, and senior management
• Identifies issues and leads contingency planning
• Leads resolution of issues at the CDT, TA & Pharma governance committees and senior management levels
• Leads CDT problem-solving and provide decision-making tools and techniques
• Leads the communication of strategy and plans to the TA & Pharma governance committees, development partners, and other key stakeholders
• Responsible for review of medical publications emerging from the Team and its affiliates
• Accountable for the budget for the compound or program
• Works with Function heads to:
• Select CDT members
• Set Goals and Objectives for CDT members
• Mentor and guide CDT members
• Provide input for performance evaluation of CDT members
• Execute the program and manage deliverables & financials
• May act, in concert with senior clinical personnel, as a company spokesperson regarding publication of clinical research findings and presentations to relevant health authorities (e.g. global health authority meeting related to NDA/MAA/BLA)
• Develop credible relationships with scientific leaders, key regulatory officials

• Manages litigation project portfolio, triaging litigation ideas received via division intake.
• Applies project management and change management concepts to drive adoption of new processes, tools, and workflows.
• Identifies operational gaps, risks, and improvement opportunities, implementing practical solutions.
• Drives and facilitates the adoption of new and updated processes, workflows, tools, and vendor solutions.
• Communicates effectively with attorneys, legal staff, litigation leadership, vendors, and business partners while safeguarding confidentiality.
• Prepares reports, analyses, and presentations for leadership audiences.
• Partners with Claims Law and Subrogation Law leadership to facilitate discovery, document business needs, and translate operational requirements into actionable project, process, technology, and change initiatives.

Senior Litigation Operations Consultant, Projects & Technology

• Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship, while considering the cultural and linguistic needs of each member.
• Function as a liaison between healthcare providers, community resources, and enrollees to ensure seamless communication and care transitions.
• Perform required assessments on a timely basis, including but not limited to Comprehensive Assessment, MDS-HC (or successor) Functional Assessments, and Crisis and Risk Assessments.
• Engage enrollees in care plan development and implementation, providing routine updates as the enrollee’s status changes.
• Lead the interdisciplinary care team (ICT) and collaborate with peers both internal and external to the organization, to create holistic care plans that address medical and non-medical needs.
• Oversee enrollee utilization of long-term services and supports, ensuring appropriate systems are in place for enrollees to remain in the location of their choice.
• Assist members in accessing community resources, including housing, transportation, food assistance, and social services.
• Educate members about their benefits and available services under both Medicare and Medicaid.
• Provide education to members and their families about managing chronic conditions, medication adherence, and preventive care.
• Promote healthy lifestyle choices and self-management strategies.
• Assist enrollees in preventative health strategies, including gap closure.
• Follow up with members after hospitalizations or significant health events to ensure continuity of care and prevent readmissions.
• Work closely with primary care physicians, specialists, and other healthcare providers to coordinate care and share relevant information.
• Coordinate with community-based organizations, other stakeholders/entities, state agencies, and other service providers to ensure coordination and avoid duplication of services.
• Advocate for the needs and preferences of enrollees within the healthcare system.
• Evaluate member satisfaction through open communication and monitoring of concerns or issues.
• Regular travel to conduct member, provider and community-based visits as required.
• Report abuse, neglect, or exploitation of older adults and adults with disabilities as a mandated reporter as required by State law.
• Adhere to NCQA and Care Management standards.
• Perform any other job related duties as requested.

Operations jobs in Massachusetts

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Operations Manager, Matter and Space

Associate Director – Supplemental Health Claims Operations

Director, Strategy & Operations

Operational Excellence Performance Lead

Director, Operations Resiliency, Capacity Growth

Merchandising Operations Manager

Vice President of Development, External Affairs Strategy, Operations

Senior Commercial Operations Specialist

Senior Commercial Operations Specialist

Director – Franchise Operations

Manager – Coding Operations

Claim Operations Supervisor

Head of Neuropsychiatry

Account Operations Principal, Assistant Vice President – Wealth Custody & Clearing

Director, Central Operations

Operations Lead – Strategy & Operations, Specialty Care

Senior Director, Compound Development Team Leader – Neuropsychiatry

Senior Director, Compound Development Team Leader – Neuropsychiatry

Senior Litigation Operations Consultant, Projects & Technology

Registered Nurse (RN), Clinical Care Manager