Director, Strategy & Ops - Illuminate Rx

Illuminate Rx is redefining pharmacy benefits management by delivering a more transparent, flexible, and accountable model for clients, advisors, and members. As Illuminate Rx continues to grow, we are seeking a Director of Strategy and Operations to help design, operationalize, and scale a differentiated operating model that supports our next phase of PBM growth. The Director of Strategy and Operations translates Illuminate Rx's strategic priorities into repeatable, scalable, and well-governed operating capabilities. This role defines how Illuminate Rx is sold, implemented, operated, supported, measured, and continuously improved across the enterprise. This is a high-impact role for a builder and operator who can move comfortably between strategy and execution, bring structure to ambiguity, influence without authority, and drive disciplined execution in a fast-moving, high-growth environment. This role partners closely with Sales, Account Management, Clinical, Operations, Implementation, Finance, Legal, Compliance, Product, Analytics, and external solution partners to ensure Illuminate Rx delivers a consistent and meaningfully differentiated experience. _

Essential Job Responsibilities Include:

_ +

• Operating Model Strategy and Execution
• + 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. +

• Growth Enablement and Commercial Readiness
• + 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. +
• Solution Partner Strategy and Governance
• + 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. +

• Policies, Controls, and Enablement
• + 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. +
• Performance Management and Continuous Improvement
• + 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. _Required Skills /

Experience:

_ + 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. _

Preferred Skills/Experience:

_ + 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.

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.