Pharmacy Operations, Manager

We are seeking a teammate to join our team and help execute against Evio’s transformational vision. The teammate will work cross-functionally with members of the Evio team and Evio’s partners to implement and maintain Evio’s pharmacy benefit operations. The candidate will have engagement with our C-suite, product leaders, and partners and will gain exposure to the full portfolio of services that Evio is bringing to market.

Job Specifics

Support the ideation and execution of Evio’s pharmacy benefit operations, identifying product enhancement opportunities and supporting the strategy team in developing solutions

Create business requirements for new and existing systems alongside internal and external stakeholders to ensure efficient and accurate benefit administration

Work with strategy, technology, account management, analytics, and other stakeholders to ensure that Evio’s pharmacy benefit solution is designed to meet customer and regulatory requirements and timelines

Support onboarding of customers to the platform and ensure accurate benefit setup via testing and ongoing monitoring, including establishment of eligibility and accumulator operations

Create and maintain thorough process documentation across Evio teams and external vendors

Support troubleshooting of inquiries or issues related to claims adjudication, accumulators, and eligibility

The skills and experience you bring to this role include:

Bachelor’s degree preferred, relevant experience considered for exceptional candidates

3+ years of experience in pharmacy benefit management operations at a PBM or health plan

In-depth knowledge of pharmacy benefit configuration and maintenance and claims processing

Strong project management skills and detail oriented

Excellent verbal and written communication skills

Superior problem-solving capabilities

Collaborative team player mentality

Every Evio teammate is critical to our culture and success. For all candidates, across roles and levels, you demonstrate that: 

You have a high degree of alignment with Evio’s mission and values.

You put the patient first, leading with clinical, and doing something transformational for US healthcare is in your DNA.

You are an energy producer, with a proven ability to “get stuff done” (GSD) and support others.

You are a curious, creative, and overall strong problem solver who is a go-to subject matter expert where you need to be.

You are a resilient challenger of the status quo that drives improvements on every topic from creating team rhythms and culture to the next clinical strategy for the team to pursue.

You thrive in ambiguity and are comfortable rolling up your sleeves on business strategy, team, execution, and other elements that will certainly change as the team fails fast, learns and pivots.

You are a proven leader who inspires confidence and establishes processes and team structures that are conducive to teammate and company growth.

You are emotionally intelligent, and you do well collaborating with multiple parts of the business and functioning well with a variety of styles.

Salary Considerations

Anticipated annual base pay range: $130,000 - $170,000, plus additional variable compensation

At Evio, we’re committed to building a competitive compensation package to honor the value our teammates bring as well as attract and retain top talent that is aligned with our culture, mission and values. Compensation includes base pay (range shown) and could include other variable compensation opportunities depending on job seniority, location, and date of hire. Evio also offers a number of attractive benefits to eligible teammates including health insurance, retirement savings, life and disability insurance, paid and unpaid time off, and other benefits to make sure Evio teammates and families are well supported.

Please note that the base pay information shown is a general guideline for the job responsibilities and qualifications listed. Salary decisions are based on candidate experience, and market and business considerations.

Evio Benefits

Great Health InsuranceThe company pays 100% of medical, dental, and vision premiums for teammates, and 50% for dependents.

401K MatchEvio matches 100% of teammate contribution up to 5% of salary, subject to IRS limits. 401K is administered through Guideline.

Time OffWe have a flexible vacation policy for teammates to unplug and recharge when you need it. There is no minimum or maximum amount of vacation allowed per year, and there is no payment in consideration for unused vacation. Vacation is to be used at your discretion, with approval of leadership.

Parental LeaveGenerous paid leave for new parents (includes birth and non-birth parents).