Client Operations Manager

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.

Join us in improving health care outcomes for all! We promise to do what’s right, always.

Position Summary:

The Operational Client Manager is a key partner in delivering smooth and efficient pharmacy benefit operations for AffirmedRx clients, working closely with the Account Manager. This role serves as the primary point of contact for day-to-day benefit updates, issue resolution, and coordination with internal teams. Responsibilities include maintaining accurate documentation, supporting client deliverables, and promoting operational excellence through proactive communication and cross-functional collaboration.

What you will do:

Client Operations Management:

• Serve as the primary point of contact for day-to-day operational inquiries from clients and internal teams
• Oversee benefit design setup, annual updates, testing, and processing of change requests
• Partner with internal teams to resolve member-specific issues, including prior authorization (PA) denials, pharmacy processing errors, and eligibility concerns
• Coordinate member communications, ensuring timely approvals and accurate delivery of materials
• Maintain organized client materials, including benefit summaries, plan documentation, and project trackers
• Track, document, and report on the status of client requirements and operational timelines
• Coordinate accordingly to ensure internal and external data needs are met, timely and accurately

Cross-Functional Coordination:

• Partner with internal teams (e.g., Implementation, Clinical, Operations) to ensure accurate execution of client requirements
• Support onboarding processes for new client implementations, annual benefit design changes, and benefit updates as needed
• Participate in internal meetings and projects to support client performance and continuous process improvement

Issue Resolution and Escalation:

• Address system configuration issues, vendor coordination, and shared NPI reporting
• Monitor accumulators and ensure compliance with PA turnaround times and other regulatory metrics
• Escalate complex issues and collaborate with leadership to ensure resolution aligns with client expectations

What you need:

• Bachelor’s degree in Healthcare, Business Administration, Operations Management, or a related field
• 3–5 years of experience in client operations, healthcare administration, or pharmacy benefit management
• Strong organizational skills and attention to detail, with excellent written and verbal communication abilities
• Proven ability to manage multiple priorities in a fast-paced environment
• Proficiency in Microsoft Office Suite; familiarity with Salesforce preferred
• Team-oriented mindset with a strong commitment to delivering exceptional client service
• Willingness to travel (25–30%)

What you get:

• To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes
• To work in a culture where people thrive because when OUR team thrives, OUR business thrives
• Competitive compensation, including health, dental, vision and other benefits

Note:

AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.