Healthcare Operations Manager

Job Overview

Position Overview:  The Healthcare Operations Manager significantly contributes to sustainable growth and client retention by establishing and enhancing processes, managing new initiatives, supporting training and upskilling, and driving change success.  

About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You'll Do:

• Develop and execute operational strategies aligned with the Account Management department and overall company vision and objectives; Lead various initiatives, ensuring timely and high-quality delivery, alignment with organizational goals, and collaboration across cross-functional teams (e.g. Clinical, Sales, Plan Administration, etc.).
• Understand workflows, facilitate interdepartmental communication, and create a collaborative environment to align approach and execute solutions. 
• Accountable for assigned projects and operational collaboration during execution of new or enhanced processes and programs. Coordinates with project and department managers, business analysts, and other stakeholders to ensure goals and objectives are met.
• Work closely with our Sales, Clinical, and Member Services teams to execute improvements and enhancements to ensure services are delivering exceptional experience and value to our clients and business partners.
• Proactively identify opportunities to address issues, improve and document processes and implement new initiatives related to Client and Member Success. Develop and implement solutions across people, process, and technology in support of MedOne, Client, and business partner objectives. 
• Build and deliver effective change strategies within the Account Management team to introduce new technology or tools, reduce operational cost, support procedural change, and/or increase profitability.
• Manages risk by bridging interdepartmental gaps and connecting information within the organization. Acts as a centralized facilitating point for the coordination of tasks and integrated execution of key initiatives and reduces activities carried out in isolation.
• Relays information and coordinates tasks to rectify or respond to inquiries e.g. audits, regulatory requirements, and plan reconciliations. 
• Derive and analyze data to drive decision-making through identifying trends, bottlenecks in operational workflows, and recommending/scoping impact of solutions. Monitor throughputs and outcomes to assess efficiency and quality. 
• Assess the quality and effectiveness of processes and service offerings and resolve technical and operational issues to ensure MedOne and Client expectations are exceeded. 
• Work closely with the MedOne Legal team to ensure our products and services meet appropriate regulatory and compliance standards. 
• Conduct operational risk assessments and implement preventive measures to mitigate potential risks.
• Recommends opportunities and/or action plans for improved performance based on business need. Provides analysis and recommendations to leadership in the planning, implementation, and evaluation of modifications to current approach.

What You Will Bring to MedOne:

• 7 years’ experience in the healthcare space including 5 years focused on operations and business management. 
• Travel, etc. 5-10%.
• Advanced skills in Microsoft Office Suite to include Excel, PowerPoint, Outlook, Teams, and Dynamics (CRM).
• Strong leadership skills to motivate teams, make decisions, and guide the organization toward operational goals.
• Strong problem-solving abilities to analyze complex situations, identify issues, and develop effective solutions.
• Strong communication and teamwork skills to convey information, collaborate with cross-functional teams, and interact with stakeholders.
• Demonstrated ability to think analytically for interpreting data, identifying trends, and making data-driven decisions to improve efficiency and effectiveness.
• A mindset focused on continuous improvement involves constantly seeking ways to enhance operational processes and outcomes.
• Naturally curious, questions assumptions and challenges the status quo – understands and helps individuals work through resistance to change. 
• Strong attention to detail – quickly become an expert in new areas, ask the right questions, and connect dots to ensure accuracy and completeness of initiatives.
• Ability to adapt and learn quickly in a dynamic, fast-paced environment and effectively navigate ambiguity and change to drive results. 

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. Our top core value is to prioritize your well-being. To support you in living this value, we offer:

• Competitive salary and bonuses that reward your performance.
• Comprehensive health, dental, and vision insurance + additional benefits
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.

Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

Employment Type: Full Time, Salary

Reports to: VP of Account Management

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.