Sr. Manager, Claims Operations - Archimedes
- Compensation
- Not disclosed
- Location
- US
- Work setup
- Not specified
- Seniority
- Senior
- Employment
- Not specified
- Experience
- 3+ years
- Category
- Not specified
- Posted
Skills
Must have
- Bachelor’s degree in Business Administration or related field, or equivalent work experience, required.
- 5+ years of claims operations experience required.
- 3+ years of progressive leadership experience, which may include leading individual contributors or teams, or equivalent leadership experience such as coaching, mentoring, or leading complex initiativ
- Experience with specialty claims, configuration and complex programs such as copay assistance strongly preferred.
- Experience in healthcare required.
Full description
Company
Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
13.50 - Manager, Clinical Mgr, Pharm Supvr, CAE, Sr CAE I
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am-5pm CST
Overview
Archimedes is seeking a Sr. Manager, Claims Operations to join our team!
The Sr. Manager, Claims Operations is responsible for leading and optimizing end-to-end operational functions, ensuring accurate, timely, and compliant execution of pharmacy benefit services within the claim operations team. This role oversees complex operational workflows, external pharmacy and vendor performance, and cross functional coordination to support client commitments, regulatory requirements, and financial integrity.
The Sr. Manager, Claims Operations acts as both a strategic operator and a hands-on leader, driving process improvement, issue resolution, and operational readiness across direct team and cross-functional teams. Areas of responsibility include claims configuration and processing, claims quality, fee schedule management, direct pharmacy relationship management, copay assistance program oversight, and other critical duties as assigned by leadership.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
- Provide leadership and oversight over the claim operations team to ensure efficient, accurate, and compliant execution of business operations.