Director of PBM Operations and Assurance

Company: Southern Scripts
Location: Orlando
Posted on: October 24, 2024

Job Description:

We wanted a PBM that worked better. So we took a bold approach... When we set out in 2011 as Southern Scripts to reshape pharmacy benefit management, it was because we believed there was a better way. Throughout our journey, we've never been afraid to challenge widely accepted industry practices or to pioneer a better model. We see that the concept of "transparency" is gaining momentum. At Liviniti, we've been delivering it for more than a decade.Liviniti, grew from a commitment to offer an uncomplicated approach to managing pharmacy benefits. One based on transparency, affordability, quality, service and innovation. Our name describes the future that we envision - one with infinite possibilities for better living. Join a team that is reshaping pharmacy benefit management! At Liviniti, we give people the runway to do their best work. We seek people who analyze, challenge and think outside the box - and reward them with an environment and benefits that support their professional and personal goals.Director of PBM Operations and AssuranceRole and ResponsibilitiesThe Director of PBM Operations and Assurance will provide strategic and operational support to the Vice President of Operations, ensuring efficient coordination of the Liviniti Contact Center, Implementation, EDI, and Adjudication teams. This role supports department managers in delivering high-quality service to clients, members, and internal associates while driving continuous improvement and operational efficiency. The Director of PBM Operations and Assurance will fill operational gaps by addressing unassigned or emerging priorities, ensuring team alignment with business objectives. The Director of PBM Operations and Assurance is required to perform the outlined duties and professionally undertake the following responsibilities:AdministrativeCollaborate closely with department managers to gather insights, prioritize operational tasks, and contribute to decision-making processes to maintain performance and drive strategic goals.Track important meeting conversations and drive necessary follow-ups.Track external and internal company performance, ensuring high standards are maintained.Identify, monitor, mitigate, and address risks, escalating them to the VP of Operations before they become critical issues.Reviewing dashboards to monitor key metrics and measure company/team performance.Collect information from daily duties and relay essential details to the VP of Operations.Compose and organize communications and presentations for internal and external use.Business Process and Quality ManagementContinuously improve business processes and quality management by working with department managers to increase productivity, reduce errors, and maintain compliance with state, federal, and industry standards.Work with department managers to establish and monitor key performance indicators (KPIs) and regularly report on operational risk and quality improvements.Support key operational objectives to improve the quality of the member, client, and Liviniti associate experience within day-to-day operations.Leadership and StrategyAdapt to industry changes and continuously seek opportunities for learning and development to remain at the forefront of operational excellence.Foster a culture of innovation by leading cross-functional initiatives focusing on operational enhancements, leveraging technology and best practices to improve service delivery.Support the VP of Operations in strategic planning and client-facing activities.Additional ResponsibilitiesAbide by all HIPAA-related Protected Health Information (PHI) obligations.If a HIPAA violation is discovered, individually or by another, you must report the violation to the Compliance Officer and/or Human Resources.Attend, complete, and demonstrate competency in all the required HIPAA Training the company offers.This job description is subject to change as the role evolves to meet operational needs and business objectives, with new duties potentially assigned to support overall effectiveness. What We Have to OfferOur benefits package is designed to keep our employees happy and healthy - physically, mentally and financially. Servant CultureMedical, Dental, Vision insuranceDisability and Life insuranceTotal Wellbeing InitiativesEmployee Assistance ProgramRemote work optionsGenerous Paid-Time OffAnnual Reviews and Development PlansRetirement Plan with company match immediately 100% vestedRequired Skills and CompetenciesExcellent verbal and written communication skills.Strong leadership and team coordination skills, with the ability to influence without direct authority.Extensive knowledge of the industry's principles, procedures, and best practices.Excellent organizational skills and attention to detail.Strong analytical and problem-solving skills.Proficient with Microsoft Office Suite or related software. Supervisory ResponsibilityThis position does not have direct reports but works closely with department managers to support operational performance. Supervisory responsibilities may evolve as the role grows. Position Type and Expected Hours of WorkThis is a full-time/exempt position.Some flexibility in hours is allowed, but the employee must be available during the "core" work hours of 8:00 AM to 5:00 PM CT. We cover clients from the West to the East Coast, and work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays according to industry demands. TravelTravel may include site visits, client meetings, and operational oversight across domestic locations. Required Education and ExperienceA bachelor's degree in business administration, operations management, or a related field is preferred.Extensive experience in operational management, preferably in healthcare or PBM environments.Strong negotiation, management, and communication skills.Proficiency in Microsoft Office and Internet systems.Liviniti, LLC and all entities provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.Liviniti expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/VPI8eac118fdc32-25660-35871187

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