Note: The job is a remote job and is open to candidates in USA. RxBenefits, Inc. is redefining pharmacy benefits management with a focus on transparency and flexibility. They are seeking a Director of Strategy and Operations to design and operationalize a scalable operating model that supports growth and enhances client experience.
Responsibilities
- Provides strategic support and management of the end-to-end Illuminate Rx operating model, ensuring it is clearly defined, documented, maintained, and scalable
- Translate strategy into practical workflows, governance structures, decision rights, and operating capabilities
- Define how Illuminate Rx is sold, implemented, operated, governed, measured, and supported across internal teams and partners
- Identify operating model gaps, handoff risks, inefficiencies, and decision-making bottlenecks and lead efforts to resolve them
- Partner with Sales and Account Management to ensure the operating model supports growth, client expansion, and broker engagement
- Develop scalable tools, playbooks, and processes that enable teams to explain, sell, implement, and manage Illuminate Rx
- Translate complex operating concepts into clear, practical guidance for client-facing and internal teams
- Lead operating model design for external solution partner integrations and service delivery
- Define partner onboarding standards, operating expectations, escalation paths, performance metrics, and governance routines
- Partner with Legal, Finance, Compliance, and Operations to ensure partner relationships are scalable and well-controlled
- Monitor partner performance and drive continuous improvement across service, cost, and client experience
- Develop and maintain Illuminate Rx policies, procedures, playbooks, and operating documentation
- Clarify roles, responsibilities, decision rights, escalation paths, and control expectations
- Support a strong control environment by partnering with Legal, Compliance, Risk, and Finance
- Serve as an internal subject matter expert on how Illuminate Rx works and how teams should support it
- Define and track key performance indicators for the Illuminate Rx operating model
- Use data and operational insights to identify risks, trends, and improvement opportunities
- Lead initiatives to improve scalability, execution quality, efficiency, and client experience
- Scale what works, eliminate what does not, and continuously strengthen Illuminate Rx’s differentiation
Skills
- Commercialization experience in pharmacy benefits, PBM, healthcare administration, or equivalent practical experience
- 8 or more years of experience in strategy, operations, healthcare, pharmacy benefits, consulting, or business transformation
- Experience designing, implementing, or improving operating models and cross-functional business processes
- Strong understanding of healthcare, pharmacy benefits, PBM operations, or adjacent healthcare services
- Proven ability to lead complex, cross-functional initiatives from concept through execution
- Strong problem-solving skills with the ability to break down ambiguity into clear decisions and actions
- Excellent written and verbal communication skills
- Strong execution discipline and comfort managing multiple priorities
- Demonstrated ability to influence, build trust, and drive accountability across teams
- Experience in PBM, specialty pharmacy, health plan operations, employer benefits, or healthcare consulting
- Experience working in a high-growth or startup-like environment where building from scratch and scaling quickly are required
- Experience with solution partner onboarding, vendor governance, service level management, and performance reporting
- Ability to context shift frequently across strategy, execution, commercial, and operational workstreams without losing effectiveness
- Strong cultural fit with a team that values clarity, fast decision-making, intellectual honesty, and knowing when the right meme can disarm tension, engage a team, or make a hard meeting more human
Company Overview
RxBenefits is a health and wellness company that provides pharmacy benefits and administration services. It was founded in 1995, and is headquartered in Birmingham, Alabama, USA, with a workforce of 1001-5000 employees. Its website is http://rxbenefits.com.