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Operations Manager - Medicaid PBM Services
- Conduent (Boston, MA)
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Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
We are seeking an experienced **Operations Manager** to lead onsite operational and technical service delivery for a Medicaid Pharmacy Benefits Management (PBM) program. This role serves as the primary point of contact for State stakeholders and ensures effective operations, communications, system support, release coordination, and compliance with contractual requirements.
Responsibilities
+ Oversee daily operations across call center, provider relations, mail services, drug rebate, and clinical support functions.
+ Serve as primary liaison with State Medicaid stakeholders.
+ Ensure service delivery meets contractual, operational, and compliance requirements.
+ Coordinate with technical teams on system support, issue resolution, and release management.
+ Support operational reporting, data exchanges, and audits.
+ Monitor performance metrics and implement improvements as needed.
+ Lead and support operational change initiatives.
Qualifications
+ Minimum of 4 years’ experience leading operational teams in Medicaid, PBM, or healthcare environments.
+ Strong customer-facing operations leadership.
+ Experience with healthcare systems, data exchanges, and service delivery.
+ Proficiency with Microsoft Office (Word, Excel, PowerPoint, Outlook).
+ Understanding of SDLC (Software Development Life Cycle) processes.
+ Basic to intermediate SQL skills for reviewing or troubleshooting data.
Preferred
+ Bachelor’s degree in a related field.
+ PBM or Medicaid program experience.
+ Knowledge of NCPDP standards and healthcare IT interoperability.
+ Project management experience.
Flexible Working
At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.
In this role, you can expect the following working conditions:
**Hybrid work:** Work in a way that allows you to work from home during portions of your week and also have time onsite to connect with other team members and business leaders.
Working For You
Perks and rewards designed for you:
**Health and Welfare Benefits:** Our health and welfare benefits can be tailored to fit you and your family's needs and start on the first day of employment.
**Retirement Savings:** We will support you as you save for your future.
**Employee Discounts:** We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
**Career Growth Opportunities:** We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
**Paid Training:** Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
**Paid time off:** We provide attractive paid time off packages designed for you to enjoy your life away from work.
**Great Work Environment:** We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
_Due to varying state and local minimum wage laws, we are currently only able to hire candidates residing in states where our compensation structure complies with applicable wage regulations. As a result, we may be unable to consider applicants from certain states or municipalities at this time._
Join Us
At Conduent, we are one team, one mission. We understand that our success is directly related to the success of our associates.
We strive to create a culture where you can:
+ Bring your authentic self to work
+ Grow and thrive, both personally and professionally
+ Make a difference with our clients, in our communities, and with the millions of people we support
When you join Conduent, you are engaged in creating the future - both our company’s and your own. With more than 60,000 associates across 24 countries, we will provide you the opportunity to grow with a team of people who will challenge and inspire you to be the best!
_Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $89,436 - $116,150._
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form (https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf) . Complete the form and then email it as an attachment to [email protected] . You may also click here to access Conduent's ADAAA Accommodation Policy (http://downloads.conduent.com/content/usa/en/document/cdt\_adaaa\_accommodation\_pol.pdf) .
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