Operations Manager coordinating project team staffing and capacity at Ekimetrics. Working with HR and delivery teams to ensure effective resource allocation and workload balance.
About the role
- Formulary Operations Professional managing clinical tools within Humana’s Clinical Drug Policy team. Creating processes and improving efficiency for formulary utilization management.
Responsibilities
- Be part of the Clinical Drug Policy Management team ensuring synchronization of formulary utilization management policies across multiple systems
- Create and maintain clinical tools to facilitate clinical medication review decision making
- Operationalize prior authorization criteria into Humana systems in alignment with Humana’s Pharmacy and Therapeutics Committee
- Develop key performance indicators and plans to improve overall process improvements and efficiency
- Make decisions regarding own work methods with minimal direction
Requirements
- Bachelor’s Degree or equivalent experience in a healthcare setting
- Working knowledge of all Microsoft Office applications, including Word, Access, and Excel
- Strong organizational skills
- Strong written and verbal communication skills
- Works well independently and within a team setting to achieve goals and meet deadlines
- Prior demonstrated experience with process improvement and documentation
- Proficiency in Power Platform, Power BI, Power Apps
- Six Sigma Green belt certification
- Three years’ experience in pharmacy benefits management
- Three years of experience in a health services or technical field
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
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