Operations Specialist, Senior - Stellarus

Job Description

The Pharmacy Transformation, Vendor Oversight team supports Pharmacy Services in managing vendor relationships, tracking vendor escalations, running operational processes related to vendor management, overseeing vendor performance, and managing vendor contracting. The Operations Specialist, Experienced will report to the Manager of Pharmacy Vendor Oversight. In this role you will support financial oversight of but not limited to; invoice validation and pharmacy funding along with user access request processing.

Responsibilities

In this role, you will:

• Act as subject matter expert and reviews operational workflows, identifying problems and develops improvements, modifications, and enhancements
• Maintain databases required for business operations
• Develop and evaluate tools and materials that enhance operating efficiency, accuracy, and technical skill levels of unit staff
• Develop and generate reports for management review; notify appropriate department mangers about issues and problems in operational workflow requiring immediate attention
• Participate as a subject matter expert in the development of written guidelines and documents problems as needed
• Support Modular Solutions Escalation Triage by monitoring shared team inbox
• Support incident triage by monitoring shared team inbox
• Cross-Train in areas across the team for support as needed

Qualifications

Your Knowledge and Experience:

• Requires a bachelor's degree or equivalent experience
• Requires at least 5 years of prior relevant experience
• Requires experience with pivot tables, vLookups, and formatting within Excel
• Requires experience working with cross-functional partners and driving work
• Requires strong organizational skills and attention to detail
• Previous invoice validation desired
• Strong understanding of processing ticket requests from end to end desired

About Us

About Stellarus and the Ascendiun Family of Companies

Stellarus, launched in January 2025, is designed to scale innovative healthcare solutions that support customers in creating a health care experience deserving of their family, friends, and neighbors. Stellarus is part of a family of organizations that is overseen by a nonprofit corporate entity named Ascendiun. The Ascendiun Family of Companies also includes Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan and Altais, a clinical services company.

Stellarus' vision is to empower its customers to create a healthcare experience that is worthy of their family, friends, and neighbors. Stellarus' objective is to offer innovative, modern, scalable solutions that challenge the health care status quo. This very closely aligns with Blue Shield of California's vision by using innovation to improve quality, affordability, and experience for members.

To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals.

Our Values:

At Stellarus, our core values of agility, trust, drive, courage and service shape our approach to developing innovative product offerings.

Our Workplace Model:

We believe in fostering a workplace environment that balances purposeful in-person collaboration with flexibility - providing clear expectations while respecting the diverse needs of our workforce. Our workplace model is designed around intentional in-person interaction, collaboration, connection, creativity and flexibility:

• For most teams, this means coming into the office two days per week.
• Employees living more than 50 miles from an office location, out of state employees, and employees in certain member-facing roles should work with their manager to determine in-office time based on business need.
• For employees with medical conditions that may impact their ability to work in-office, we are committed to engaging in an interactive process and providing reasonable accommodations to ensure their work environment is conducive to their success and well-being.

The Company reserves the right to require more presence in the office based on business needs, and requirements are subject to change with periodic reviews.

Physical Requirements:

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day.

Please click here for further physical requirement detail.

Equal Employment Opportunity:

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.

Blue Shield of California