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:Administrative
- Collaborate 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 Management
- Continuously 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 Strategy
- Adapt 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 Responsibilities
- Abide 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 Culture
- Medical, Dental, Vision insurance
- Disability and Life insurance
- Total Wellbeing Initiatives
- Employee Assistance Program
- Remote work options
- Generous Paid-Time Off
- Annual Reviews and Development Plans
- Retirement Plan with company match immediately 100% vested
Required Skills and Competencies
- Excellent 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 Work
- This 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 Experience
- A 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/V
PId68165450128-37248-35871187
Keywords: Southern Scripts, Orlando , Director of PBM Operations and Assurance, Executive , Orlando, Florida
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