Director of Technical Operations - job 1 of 2

Job Summary

A company is looking for a Director of Technical Operations.

Key Responsibilities

• Oversee the setup, maintenance, and performance of accumulator systems and ensure compliance with related policies
• Manage the end-to-end eligibility process and ensure timely processing of eligibility files
• Lead and develop a team focused on accumulators and eligibility, establishing KPIs and driving system enhancements

Required Qualifications

• Bachelor's degree in computer science, Health Informatics, Business, or related field; advanced degree preferred
• 7-10 years of experience in the PBM, healthcare, or insurance industry with a focus on eligibility systems and accumulators
• Deep understanding of PBM operations and claims adjudication systems
• Proven experience leading technical operations or systems integration teams
• Strong project management skills, preferably with Agile or Lean methodologies