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Operations Director, SPBM - Archimedes

Navitus Health Solutions, LLC, Earth City, MO, United States


Company Archimedes

About Us Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost.

Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.

We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range USD $0.00 - USD $0.00 /Yr.

STAR Bonus % (At Risk Maximum) 0.00 - Ineligible

Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm-Hybrid

Overview The Operations Director is a highly motivated professional with 5+ years of experience successfully managing complex operations. This individual is responsible for strategic and tactical execution and management of claims, contact center and various other operations.

Responsibilities Job Duties Include:

Financial & Operational Management:

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

Leadership & Team Development:

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

Process Improvement & Analytics:

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

Cross-Functional & Client Engagement:

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

Vendor and client-facing as needed

Customer Experience & Service Quality:

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

Qualifications Essential Background Requirements

Experience & Industry Knowledge:

5+ years in healthcare-related operations roles

Preferred knowledge of Pharmacy Benefit Management (PBM) operations and industry

Strategic & Leadership Skills:

Strong strategic thinking and problem-solving abilities

Ability to prioritize work for cross-functional teams

Excellent people leadership skills with servant leadership attributes

Technical & Operational Expertise:

Proficiency in Microsoft Office, email, and internet tools

Experience in Call Center Software Management

Expertise in Operations Team Management

Communication & Interpersonal Skills:

Strong verbal and written communication, presentation, and negotiation skills

Ability to engage with stakeholders effectively

Additional Requirements:

Willingness to travel as needed to meet goals

Location : Address 502 Earth City Expy STE 300

Location : City Earth City

Location : State/Province MO

Location : Postal Code 63045

Location : Country US

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