Operations Manager

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

👻 Ghost score 10%

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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

• Responsible for the overall administration of a pharmaceutical hub reimbursement operation program as required by the client contract • Ensure the team meets contractual obligations • Design programs that promote high motivation among team members • Conduct performance reviews and reward positive behavior • Coach, counsel, and set goals for supervisors to support career progression • Provide day-to-day instructions on job responsibilities • Help associates resolve work-related issues • Support new associates in 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 and oversee organizational strategies for assigned goals • Identify, receive, and triage client issues and requests • Proactively identify program issues and propose solutions • Maintain positive client rapport • Understand billing processes and contractual obligations • Participate in budget planning • Maintain program quality and compliance with standard operating procedures • Design project task plans and standard operating procedures • Analyze reports and trends and provide recommendations • Analyze progress of tactical issues • Report all Adverse Events in alignment with training and SOPs • Maintain regular and reliable attendance • Perform other related duties as assigned

🎯 Requirements

• 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 • 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, particularly distribution processes/interfaces • Proven ability to appropriately escalate issues to management • Health care research and analysis skills sufficient to support payer research, healthcare policy library, and state management • Must be flexible on schedule and hours • Extensive travel is required (60% travel) • CareMetx considers equivalent combinations of experience and education for most jobs

🏖️ Benefits

• CareMetx equal employment opportunity employer • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions

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