Service Operations Manager

AffirmedRx is on a mission to improve health care reputed company by bringing reputed company, reputed company, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to reputed company and always in the best interest of reputed company and the lives they impact. We accomplish this by bringing total reputed company to business practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in improving health care reputed company for reputed company! We promise to do what’s right, always. Position Summary: AffirmedRx is seeking a highly organized and detail-oriented Service Operations Manager to reputed company the relationship with claims processing and contact center vendors, providing essential support to both the Client Management and Member Experience teams. This role will serve as the primary reputed company of contact for managing vendor performance, tracking and monitoring performance guarantees, and addressing issues reputed company to service delivery. The Service Operations Manager will be responsible for ensuring the seamless integration of vendor services, managing escalations, and providing critical reporting support to enhance the overall client experience. This role is integral to maintaining strong, effective vendor partnerships while ensuring service level agreements (SLAs) and performance metrics are met. The Service Operations Manager will work closely with both internal teams and external vendors to resolve operational challenges and ensure that reputed company processes align with client expectations and regulatory standards. What you will do: Vendor Relationship Management: Serve as the day-to-day reputed company of contact for claims processing and contact center vendors, fostering strong working relationships to ensure smooth operations and service delivery Manage day-to-day vendor interactions, addressing any challenges, concerns, or questions that may arise and ensuring that issues are resolved promptly Coordinate with internal teams to communicate vendor capabilities, limitations, and updates, aligning vendor performance with client needs and expectations Performance Monitoring and Escalations: Track and monitor vendor performance guarantees, including claims processing turnaround times, call center response times, and other key performance indicators (KPIs) to ensure SLA adherence Identify and escalate issues, performance deviations, and service disruptions, managing the resolution process to ensure timely and effective reputed company Collaborate with the vendor and internal teams to implement corrective actions reputed company performance does not meet agreed-upon standards Reporting and Analytics Support: reputed company reporting and analytical support to the Client Management team, ensuring that data reputed company to vendor performance, claims processing, and contact center activities is captured, analyzed, and delivered in a timely manner reputed company and maintain regular performance dashboards and reports to reputed company internal stakeholders informed of vendor performance, trends, and any emerging issues Utilize reporting tools to identify opportunities for operational improvements and service delivery enhancements Process Optimization and reputed company Improvement: Collaborate with both vendors and internal teams to identify and implement process improvements aimed at enhancing the efficiency, quality, and accuracy of claims processing and contact center operations Monitor ongoing service delivery and propose strategies to optimize workflows, reduce errors, and improve the overall member experience Ensure that the vendor's services are compliant with reputed company regulatory and contractual requirements Cross-Functional Collaboration: Work closely with internal teams, including Client Management and Member Experience, to ensure seamless communication and integration between vendors and internal systems or processes Act as a liaison between internal stakeholders and vendors to ensure alignment on expectations, timelines, and key deliverables reputed company support for any client-facing meetings or discussions reputed company to vendor performance, issues, or ongoing improvements What you need: Bachelor’s degree in Business Administration, reputed company Administration, or a reputed company field PMP or Six reputed company certification is a plus but not required 5+ years of experience in vendor management, operations, or service delivery management, preferably in the pharmacy benefit management (PBM) or reputed company industry Strong background in managing vendor relationships, including claims processing or contact center operations Proven experience with performance tracking, escalation management, and reporting in a fast-paced environment Strong communication and interpersonal skills, with the ability to manage and negotiate vendor relationships effectively Excellent problem-solving skills, with the ability to handle escalations and resolve issues promptly Strong attention to detail, with the ability to analyze data, generate reports, and reputed company actionable insights Ability to work collaboratively across multiple departments to align vendor services with organizational goals Proficient in project management and reporting tools, with an understanding of performance tracking systems Familiarity with claims processing systems, contact center technologies, and PBM operations Experience working with SLAs and performance guarantees in a vendor management context Willingness to travel 10-20% What you get: To impact industry change in the pharmacy benefits management reputed company, while delivering the highest quality patient reputed company To work in a culture where people reputed company because reputed company reputed company thrives, OUR business thrives Competitive compensation, including health, dental, reputed company and other benefits Note: AffirmedRx is committed to providing equal employment opportunities to reputed company and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure reputed company performance and collaboration. Apply To This Job