Operations Manager

🕒 June 30

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

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

• 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.

🎯 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 • 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.

🏖️ Benefits

• Flexibility on schedule and hours • Extensive travel required (60% travel)