A leader in transforming the pharmacy care delivery model
Manager, Licensing & Credentialing
Location
United States
Posted
32 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Manager, Licensing & Credentialing
Omnicell
Role Description The Manager of Payor Operations will lead the coordination and management of all aspects of PBM/Payor operations and requirements. This individual will be responsible for overseeing the end-to-end processes of payor credentialing, network enrollment, audits, claims issues, and reimbursement resolution. The ideal candidate will have strong expertise in: - Pharmacy benefit management (PBM) - Pharmacy administration - Payor credentialing - Payor audits - Claims adjudication This role is critical to our overall service and offerings to pharmacies. The Payor Operations Manager may be asked to take on additional tasks as needed to support the organization's overall goals and success. Qualifications - 7+ years of experience in payor credentialing, payor operations, network enrollment, claims adjudication, reimbursement, or pharmacy audit (Required) - 5+ years of experience in payor relations, pharmacy operations, specialty pharmacy, or healthcare payor management (Required) - Prior experience working with pharmacy benefit managers (PBMs), insurance companies, or a PSAO (Required) - Specialty pharmacy experience (Required) - PSAO knowledge and experience (Required) - Active Nationally Certified Pharmacy Technician (CPhT): PTCB or NHA accepted (Required) - Travel up to 30% (Required) - Associate’s or Bachelor’s degree in Healthcare or a related field (Preferred) - Thorough knowledge of state and federal regulatory guidelines related to pharmacy Requirements - Strong understanding of payor credentialing, PBM operations, pharmacy administration, regulatory requirements, payor audits, reimbursement policies, PBM contracts, and payor networks - Excellent problem-solving skills with the ability to resolve complex claim and reimbursement issues - Strong communication and analytical skills - Ability to manage multiple priorities in a fast-paced environment - Exceptional communication and negotiation skills to collaborate with internal teams and external stakeholders - Proficiency in Microsoft Office Suite (especially Excel) - Experience with credentialing portals and pharmacy management systems Benefits - Timeliness of pharmacy credentialing and re-credentialing submissions - Accuracy and completeness of pharmacy payor enrollment and data - Turnaround time for resolving payor/PBM issues Company Description Since 1992, Omnicell has been committed to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive to be the healthcare provider’s most trusted partner by our guiding promise of “Outcomes. Defined and Delivered.” - Our comprehensive portfolio of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business and clinical outcomes. - We are deeply committed to Environmental, Social, and Governance (ESG) initiatives. - Omnicell is dedicated to fostering an inclusive workplace.
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Strategic Alliance Manager
AvalaraHeadquartered in Seattle, Washington, Avalara has been disrupting the world of sales tax management since its inception in 2004. Since the company was founded, its dedicated team h
Role Description Avalara is looking for a Strategic Alliance Manager who thrives on turning potential into performance—someone who can take smaller partners and grow them into strategic, revenue-driving relationships. This role is equal parts relationship builder and business driver, focused on unlocking new opportunities, strengthening partner engagement, and scaling impact within key ecosystems. This is a fully remote, US-based position reporting to our Director, Strategic Alliances. Must be able to be partner facing by travel or video conference (50-60%). Responsibilities - Develop specific partner plans to drive internal/external execution of objectives. - Manage partner sales pipeline and provide forecasts to management. - Present the Avalara value message to multiple levels of an organization. - Report on progress planning, activities, and partner performance on a regular basis. - Lead and participate in regular QBRs with channel leadership. - Contribute to partner marketing efforts with the help of Partner Marketing Managers for marketing and co-marketing opportunities (lunch-n-learns, seminars, webinars, campaigns, trade shows). - Build out and maintain partner profile information and contact information in CRM and other systems. Qualifications - 5-7+ years of experience in channel development, business development or strategic alliances in the SMB ecosystem. - Experience with the Quickbooks/Intuit ecosystem a plus. - Experience leveraging a partner ecosystem to build and close deals by working across all levels of the organization. - Possess a solid sales foundation with an outgoing, optimistic personality. - Flexible and adaptable self-starter with the ability to take ownership and initiative approaching all tasks and projects proactively. - Ability to successfully manage multiple workstreams and prioritize competing projects. - Must be able to present both in person and online with effective presentation skills. - Competency with Salesforce, Outlook, Excel and Office Suite; Atlassian/Jira a plus. Pay Range Details - Colorado: $157,700 - $252,300 (OTE 60/40 pay mix) - Washington: $157,700 - $278,900 (OTE 60/40 pay mix) - California: $157,700 - $305,400 (OTE 60/40 pay mix) - NYC: $174,300 - $305,400 (OTE 60/40 pay mix) Benefits - Total Rewards: In addition to a great compensation package, paid time off, and paid parental leave, many Avalara employees are eligible for bonuses. - Health & Wellness: Benefits vary by location but generally include private medical, life, and disability insurance. - Inclusive culture and diversity: Avalara strongly supports diversity, equity, and inclusion, and is committed to integrating them into our business practices and our organizational culture. Company Description Avalara is defining the relationship between tax and tech. We’ve already built an industry-leading cloud compliance platform, processing over 54 billion customer API calls and over 6.6 million tax returns a year. Our growth is real - we're a billion dollar business - and we’re not slowing down until we’ve achieved our mission - to be part of every transaction in the world. We’re bright, innovative, and disruptive, like the orange we love to wear. It captures our quirky spirit and optimistic mindset. It shows off the culture we’ve designed, that empowers our people to win. We’ve been different from day one. Join us, and your career will be too. We’re An Equal Opportunity Employer supporting diversity and inclusion as a cornerstone of our company.
Senior Manager, Trust Services
WorkstreetBest-in-class trust services for high-growth companies. Vanta’s biggest services partner.
• Own Executive-Level Client Relationships: Serve as the senior point of contact for a portfolio of strategic accounts, building long-term trust and ensuring clients receive an exceptional, high-touch experience at every stage of the engagement. • Lead and Guide Client Engagements: Provide strategic oversight across multiple trust services engagements, ensuring clients are well-informed, prepared, and confident throughout security reviews, assessments, and contractual negotiations. • Manage Escalations at the Executive Level: Address complex, high-stakes client concerns with professionalism, urgency, and composure — turning challenging situations into opportunities to reinforce trust and loyalty. • Be a Strategic Trusted Advisor: Understand the broader business goals of each client and deliver security and compliance guidance that is not just technically sound, but strategically aligned with their objectives. • Conduct regular reviews of client communications, deliverables, and quality metrics to maintain consistency and excellence across all engagements. • Supervise and mentor managers, analysts, and reviewers across multiple time zones, fostering a culture of performance, accountability, collaboration, and professional growth. • Provide leadership and direction to team managers, setting clear expectations, coaching for performance, and ensuring accountability across the full delivery team. • Drive staffing, hiring, and resource allocation to optimize delivery efficiency and support department scalability as the business grows. • Establish and enforce quality benchmarks across the team, ensuring every client-facing output meets Workstreet’s high standards. • Implement agile practices (Scrum or Kanban) to manage workload distribution, track SLAs, and drive continuous improvement through retrospectives and sprint planning. • Oversee the completion, review, and finalization of client and vendor security questionnaires (SIG, CAIQ, or custom formats). Collaborate with SMEs to validate technical and compliance responses. • Conduct and manage reviews of NDAs, DPAs, MNDAs, and other contractual security clauses. Collaborate with internal and external legal counsel to redline, comment, and ensure alignment with cybersecurity frameworks and risk posture. • Utilize AI-powered tools to accelerate first-pass reviews and integrate SME feedback to improve accuracy and speed. • Partner with Legal, Compliance, IT, and Sales teams to align responses, ensure contractual compliance, and resolve escalations.
Associate Manager, Advanced Analytics
First Help FinancialWe provide auto loans to the underserved and care for our customers and partners with exceptional service.
• The Associate Manager, Advanced Analytics will work closely with the CEO and other C-level executives to drive high-impact analyses that influence decision-making. • You will own key analytics workstreams across portfolio, pricing, and operations—connecting internal and external data to surface emerging risks and opportunities, translating insights into clear recommendations, and improving analytical infrastructure and reporting. • Lead portfolio performance and risk-trend analyses, incorporating macroeconomic context and translating results into business recommendations. • Provide insights beyond core datasets by triangulating quantitative findings with customer behavior, operational signals, and market dynamics. • Lead risk-based pricing strategy and model development to optimize expected loss, yield, and unit economics across acquisitions and originations. • Monitor pricing performance (mix shift, loss curves, contribution margin) and drive tests/guardrails to improve outcomes. • Set strategy and KPIs to improve funder, underwriting, and servicing effectiveness across key credit dimensions. • Drive initiatives to reduce delinquency, losses, and roll-rates—translating analyses into prioritized action plans with clear owners. • Partner with operations leaders to design and measure collection and servicing strategies, scaling what works through experimentation. • Standardize and automate reporting and data quality monitoring; establish governance for definitions, metrics, and recurring business reviews. • Lead analytics workstreams by prioritizing deliverables, coordinating across stakeholders, and ensuring high-quality, timely execution. • Partner with Technology/Data Engineering to define the data and tool roadmap (warehouse/BI/ML enablement) and deliver scalable, AI-ready datasets. • Align with Risk on underwriting, credit strategy, and risk-based pricing—setting guardrails, monitoring model performance, and driving iterative improvements. • Partner with Sales to provide analytics support for program enhancements (performance readouts, opportunity sizing, and measurement of impact.)
Senior Manager, Clinical Site Partner
Summit Therapeutics, Inc.Summit Therapeutics’ mission is to resolve serious, unmet medical needs for the betterment of overall human health.
• Provide leadership and operational expertise in the execution of one or more Phase I–III clinical trials across the European region. • Ensure operational excellence in trial conduct and site performance. • Serve as the primary Summit operational point of contact for assigned clinical trial sites. • Drive study start-up efficiency and maintain high standards of performance and quality throughout the study lifecycle. • Act as a strategic partner to sites and study teams to deliver a concierge-level experience to our clinical trial sites. • Track key performance metrics to assess site progress, mitigate potential risks, and implement corrective actions.




