Job Description

Pharmacy Client Operations Manager

Work from home within Oregon, Idaho or Utah

Build a career with purpose. Join our cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's dedicated team of Pharmacy Client Operations Managers are living our mission to make health care easier and lives better. As a member of the Pharmacy Services team, our Pharmacy Client Operations Managers oversees pharmacy operations sales support functions necessary to sales productivity. These include pharmacy sales operations and account management planning, communications, product development operations, sales team training, reporting, and coordinating the implementation of pharmacy benefits, programs and products. Identify areas and processes for improvement which will directly enhance the customer experience and driving those improvements through implementation. Responsible for the productivity, efficiency, and effectiveness of the assigned sales organization. The position reports to the Associate Director, Pharmacy Client Operations and assists the following teams: Pharmacy Initiatives and Market Solutions, Clinical Client Pharmacy Services, and Sales and Account Management Teams. The position works closely with all internal stakeholders and cross-functional partners to ensure the appropriate objectives and priorities are enabled within the sales organization supported all in service of making our members' health journeys easier.

Are you ready to leverage your pharmacy expertise in a role that combines strategic planning, cross-functional collaboration, and meaningful impact? Are you driven by the mission to transform healthcare delivery through innovative pharmacy operations and client service excellence? Then this role may be the perfect fit.

What You Bring to Cambia:

Qualifications:

• Bachelor's Degree in Business and/or Marketing or an Associate's Degree in Business or Marketing
• Additionally, 4+ years of experience in the pharmacy managed care setting or as a pharmacy technician in a retail, hospital, or other licensed pharmacy setting; or equivalent combination of education and experience in a related field
• Certified pharmacy technician preferred

Skills and Attributes:

• Demonstrated knowledge of claims processing systems, Cambia systems (medical claims, prior authorization, PBM vendor systems), MS Office products, and other corporate software; ability to implement and support RFP data management solutions
• Comprehensive knowledge of health insurance and pharmacy benefits, including medical terminology, pharmaceutical products (orals, injectables, infusion products, chemotherapy), and healthcare coding systems (ICD-10, CPT, HCPCS); thorough understanding of sales processes, terminology, operational flow, and data requirements
• Ability to analyze and review statistical data, prepare reports, and write concise, relevant communications
• Demonstrated ability to lead all sales and account management operations, implementation, and activities within pharmacy; ability to educate customers, brokers, and members on pharmacy products
• Demonstrated ability to assist with the proposal process and consistently manage and coordinate the production of high-quality initial proposal materials
• Demonstrated ability to collaborate with individuals, teams, and cross-functional partners; effectively manage interdepartmental communications and communication processes
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired
• Ability to manage multiple complex projects simultaneously, including serving as product owner, project manager, and trainer for new and existing systems and products
• Demonstrated analytical ability to identify problems, develop solutions, and implement chosen courses of action; aptitude in process improvement and innovation
• Ability to seamlessly and effectively onboard and integrate new pharmacy clients, programs, and products
• Ability to work well under pressure and meet tight timelines while maintaining quality standards

What You Will Do at Cambia:

• Works closely with sales management to inspect sales and provides pharmacy account management services for quality and opportunities for process improvement.
• Triage and provide first touch resolution to client issues. Quickly and accurately assess inquiries in order to understand the customer needs.
• Communicate with a variety of external and internal customers regarding benefits, eligibility, and other information.
• Works cross functionally with other departments to coordinate pharmacy client operations efforts, identify cross-functional process improvements, and implement sales optimization efforts.
• Manages pharmacy client and member communications processes.
• Supports the development, production and coordination of the distribution of pharmacy customer communications and correspondence.
• Manages the implementation of pharmacy products and programs with timely, accurate, and quality results.
• Effectively coordinates with Cambia implementation teams to ensure effective and efficient implementation processes.
• Leads and is accountable for the success of pharmacy benefit implementation onboarding for new and renewing customers.
• Monitors and provides quality assurance review of group benefits upon implementation and renewal.

The expected hiring range for a Pharmacy Client Operations Manager is $68,900 - $93,200 depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10%. The current full salary range for this role is $64,000 - $106,000.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
• Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award-winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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