Job Information
RxBenefits VP, Business Platforms & Processes in Wichita, Kansas
The Vice President of Business Platforms & Processes is responsible for designing, optimizing, and scaling operational capabilities and core business processes that enable the company to deliver consistent, high-quality outcomes. This leader will establish and lead a new enterprise capability responsible for optimizing all operational capabilities, client quality assurance & operational processes at RxBenefits. This leader will serve as the business-side counterpart to Technology leadership — accountable for defining what to build and why , while ensuring platform investments drive measurable operational efficiency, customer satisfaction, and scalable growth. This role addresses a critical enterprise focus: operational ownership of requirements, prioritization, global client issue management, and operational process improvement.
In addition, this role will establish end-to-end client quality assurance and leadership of the Operational teams in India at our Global Collaboration Center (GCC). This leader will lead our Quality Director through partnership with every business area connected to client set-up across pricing, contracting and operations and will lead a strong team focused on utilizing AI to establish an efficient quality model. This role will also partner with the GCC, with a focus on smart expansion and excellent outcomes.
The ideal candidate combines strong operational leadership, systems thinking and process engineering expertise with the ability to influence senior leaders and drive measurable results.
Scope of Accountability Include:
Business Platform Strategy & Governance
Maintain strong relationships and strategic partnerships with Technology VPs to understand business objectives and shape technology needs and opportunities that articulate business value and align with strategic goals
Lead and translate business strategy into a structured, prioritized capability roadmap that defines deliverables, accountability, and value measurement
Align with stakeholders on business requirements, intake processes, scenario tracking, and prioritization methodology and communication approach for all internal platforms to ensure clear understanding, effective timeline management, and alignment with capacity constraints
Integrate enterprise-wide user acceptance testing procedures and governance frameworks to validate that enhancements are delivered as intended across the organization
Enterprise Issue Management (New Capability)
Enhance our governance framework and empower teams throughout the organization to consistently think through proactive gains, monitoring trends, and thorough root cause analysis
Mature the existing client and member issue management framework that aligns with enterprise objectives to improve efficiency and scalability
Integrate various internal systems to enable effective data analysis for data-driven trends identification for process improvements
Collaborate with cross-functional departments to ensure timely resolution of high-impact issues
Establish clear, qualifiable key performance indicators and executive reporting communication
Collaborate with Technology and PBM Strategic Relations VPs for business case alignment regarding technological development
Operational Continuous Improvement
Embed Continuous Improvement as an operational discipline to build a culture around root cause analysis, learning opportunities and accountability to prevent reoccurrence to improve quality and delivery
Deliver measurable improvements in efficiency, quality, and client/member experience by ensuring that resolutions are properly implemented, adopted, and effectively maintained
Optimize and integrate processes and systems to improve workflows, eliminate inefficiencies, and support data-driven decisions
Improve process improvement documentation program for increased automation, accuracy and ability to measure team’s KPIs
End-to-End Quality Assurance
Drive the quality vision, strategy, and roadmap in alignment with company objectives, while fostering a culture focused on quality and ongoing improvement
Support a well-established team with outstanding performance, assuming increased responsibilities to generate validation insights and identification of process gaps across all stages of the client life cycle
Utilize AI to expand current operational quality process and strengthen accountability
Collaborate with Technology VPs to integrate various internal systems, enabling effective data analysis
Maintain industry-leading quality standards to enhance out-the-door set-up accuracy and minimize client payouts
Enablement and Global Collaboration Center Operational Strategy
Support a well-established offshore team with outstanding performance, assuming increased responsibilities for Operational support
Establish clear, qualifiable key performance indicators across onshore and offshore
Partner with RxBenefits Leadership & Training Development team to ensure Operations continues to make the strides needed across career goals, role expertise, and more
Evaluate potential opportunities for utilization within non-technical spaces of RxBenefits
Skills / Experience:
Bachelor’s degree required: Engineering, business, healthcare, or operations management preferred
MBA or advanced degree strongly preferred
12-15+ years progressive leadership experience in business platform, process improvement and product organizations
Background in pharmacy benefits, healthcare services, or BPO operations
Proven ability to build organizations and operating models from the ground up
Strong cross-functional leadership across operations and technology
Experience driving enterprise transformation and measurable operational outcomes
Experience with process engineering, AI and workflow optimization
Ability to travel 25% of the time
RxBenefits provides equal opportunities for everyone who works for us and everyone who applies to join our team, without regard to sex or gender, gender identity, gender expression, age, race, religious creed, color, national origin, ancestry, pregnancy, physical or mental disability, medical condition, genetic information, marital status, sexual orientation, any service, past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration protected by federal, state, or local law.