Operations Manager

🕒 2 dias atrás

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CareMetx, LLC

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

⚕️ Seguro de Saúde

Healthcare Insurance

CareMetx, LLC é uma empresa especializada em transformar o acesso dos pacientes a terapias especiais, reduzindo o tempo para o início do tratamento. Eles oferecem um serviço de Hub digital que aborda barreiras emocionais, financeiras e clínicas para os pacientes, visando melhorar os prazos de tratamento e o uso contínuo das terapias. A CareMetx proporciona suporte de alta qualidade e utiliza tecnologia avançada para oferecer soluções de acesso, acessibilidade e adesão, beneficiando tanto os pacientes quanto os prestadores de serviços de saúde. Eles fazem parceria com marcas farmacêuticas especializadas, prestadores de serviços de saúde e sistemas hospitalares para melhorar os resultados dos pacientes.

Descrição

• Ensures team is meeting contractual obligations. • Design programs which promote high motivation among team members. • Conducts performance reviews and rewards positive behavior. • Coaches, counsels, and sets goals for supervisors to help develop them for career progression. • Provides day-to-day instructions to team members on job responsibilities. • Helps associates resolve associate work-related issues. • Supports new associates in their efforts for growth and development. • Participates in the hiring and termination process. • Develops designs and conducts Train the Trainer program. • Provides feedback up and down the organization (Positive and Constructive). • Participates in client meetings; prepares agenda and / or takes meeting notes. • Ensures open communication with program support. • Translates and oversees organizational strategies for assigned goals. • Identifies client issues; receives and triages client requests. • Proactively identifies program issues and proposes ways in which to address their concerns. • Maintains positive rapport with client Understands the billing process and contractual obligations. • Participates in budget planning. • Accountable for program quality and compliance with standard operating procedures. • Designs project task plan and standard operating procedures. • Analyzes reports for trends and gives recommendations. • Analyzes progress of tactical issues. • Reports all Adverse Events (AE) disclosed in alignment with training and Standard Operational Procedures (SOP) • Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled. • Performs other related duties as assigned.

🎯 Requisitos

• Previous 4+ years of experience in a reimbursement hub, specialty pharmacy, physician’s office, medical insurance, healthcare setting, and/or related experience • Previous 2+ years supervisory experience is required. • Strong interpersonal skills and attention to detail. • Ability to communicate effectively both orally and in writing. • The ability to manage multiple tasks. • Working knowledge of Microsoft Office. • Ability to resolve associate issues effectively and efficiently. • General knowledge of reimbursement, patient assistance programs, database elements and functionality; operational policies and processes particularly distribution processes / interfaces. • Proven ability to appropriately escalate issue to management. • Health care research and analysis skills sufficient to support payer research, healthcare policy library and state management.

🏖️ Benefícios

• Extensive travel is required (60% travel)