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Manager, Data Operations

Location not listed · remote · Salary not listed

Role overview

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 Manager, Data Operations is a hands-on technical leader responsible for the accuracy, reliability, and security of AffirmedRx’s client eligibility data, accumulator data, and related file operations. Reporting to the AVP, Information Technology Operations & Security, this role directly manages a small, highly specialized team and owns SFTP setup and management, coding automations, and the change control process governing client data. Deep, direct PBM experience is essential: this person needs to personally understand eligibility files, accumulator logic, and claims adjudication well enough to guide the team, troubleshoot alongside them, and speak credibly with clients. This is a working leadership role that also carries Scrum Master responsibilities for the team, and it requires someone comfortable meeting directly with clients as issues, onboarding, or escalations require.

What you will do:

Team Leadership and People Management:

Coach and develop team members across disciplines, building a team that combines deep technical expertise with accountability
Stay close enough to the work to catch problems early — personally review file specifications, code, or adjudication logic when something is at risk, not only through status updates
Balance leading the team with doing the work: step in directly on build, troubleshooting, or client issues when the situation calls for it

Client Eligibility and Accumulator Data Management:

Own the accuracy, timeliness, and integrity of client eligibility data and accumulator data across all supported clients
Oversee file layouts, data mapping, and ingestion/egestion processes for eligibility and accumulator files
Apply direct PBM claims adjudication knowledge to identify and resolve data issues before they affect client operations

File Management, Automation and SFTP Operations:

Own SFTP setup, configuration, and ongoing management for client and vendor file transmissions

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Manager, Data Operations

Role overview

Position Summary:

What you will do:

Team Leadership and People Management:

File Management, Automation and SFTP Operations:

Change Control and Process Governance:

Agile Delivery and Scrum Master Duties:

Client and Cross-Functional Communication:

What you need:

What you get:

Note: