Operations Manager

🔥 4 minutes ago

🇺🇸 United States – Remote

💵 $71k - $78k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Manage, coach, develop, direct, and lead a high-performing team of Case Managers • Educate patients and families on product access and reimbursement processes • Support therapy delivery, patient access, and ongoing therapy compliance as appropriate • Ensure the team meets contractual obligations • Design programs and training content to motivate team members • Conduct performance reviews and reward positive behavior • Coach, counsel, and set goals for supervisors • Provide day-to-day instructions and resolve work-related issues • Support associate growth and development • Participate in hiring and termination processes • Develop, design, and conduct Train the Trainer programs • Provide positive and constructive feedback throughout the organization • Participate in client meetings, prepare agendas, and take meeting notes • Ensure open communication with program support • Translate organizational strategies into assigned goals • Identify, receive, and triage client requests and issues • Proactively identify program issues and propose solutions • Maintain positive client rapport • Understand billing processes and contractual obligations • Participate in budget planning • Ensure program quality and compliance with SOPs • Design project task plans and standard operating procedures • Develop and maintain program SOPs, work instructions, and job aids • Analyze reports and tactical issue progress for trends and recommendations • Report adverse events in alignment with training and SOPs • Maintain regular and reliable attendance • Perform other related duties as assigned

🎯 Requirements

• Minimum 5+ years' experience in the pharmaceutical/healthcare industry • Minimum 4+ years reimbursement management experience • Minimum 3+ years direct people management experience • Minimum 2+ years cell/gene therapy experience • Minimum 2+ years experience/exposure to pediatric patients and caregivers • Bachelor's Degree in general business, health sciences, public policy, or another related field preferred • Licensed social worker, patient advocacy, or equivalent experience preferred • Ability to travel overnight up to 20% of the time within all territories (East, Central, Mountain, Pacific) • Schedule flexibility to provide backup coverage for program operations and Case Manager responsibilities • Strong interpersonal skills and attention to detail • Effective oral and written communication skills • 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, and operational policies and processes • Proven ability to appropriately escalate issues to management • Healthcare research and analysis skills supporting payer research, healthcare policy library, and state management • Demonstrated player/coach mindset with willingness to answer calls, work cases, and rotate late-shift coverage • Demonstrated ability to be a primary client contact • Ability to set program goals and work independently • Ability to sit regularly and occasionally lift or move up to 10 pounds • Must be flexible on schedule and hours

🏖️ Benefits

• Equal employment opportunity protections • Reasonable accommodations for individuals with disabilities • Supportive employee-focused workplace culture • Equivalent combinations of experience and education considered