Senior Manager, Patient Services

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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

• Under the general direction of the designated manager, the Patient Services Senior Manager is responsible for the successful delivery of all contracted services of respective Patient Services programs. • Provide program operational oversight, administration and management of one or more operational programs. • Lead an operational team of managers and associates by establishing goals and expectations for team oversight, setting direction and influencing team performance through the development and coaching of managers. • Ensure the program is operating in accordance to client service levels, compliance standards and operational efficiency. • Work with the client to provide program updates, regular reporting, and address client issues. • Collaborate with the Director and New Business Development on new business initiatives as well as in offering creative solutions to expand service offerings to clients. • Serve as the primary liaison between company and client as it relates to program operations; lead client operational meetings; field client questions and requests; interpret client needs and develop appropriate action plan; work with management team to monitor, assess and identify strategies to improve program processes, services, systems and analysis; engage with appropriate client contacts to provide proactive updates, address concerns and explore program opportunities and provide internal advocacy for client. • Work with management team to ensure that team is meeting contractual obligations and to seek ways to improve operational performance; identify staffing needs and work with HR to recruit appropriate staffing; serve as the interface for cross functional activities; work with team management to design programs to maintain high motivation among team members; manage overall program performance including pending work and proactively manage bottlenecks by shifting resources; responsible for establishing and monitoring goals for the team; ensure Managers are effectively managing individual productivity, quality and compliance; conduct performance reviews and quarterly talent reviews of management team; provide training and mentoring to team members and conduct career development discussions; hold regular meetings with team and one-on-one meetings with managers; provide coaching and guidance to leaders and partner with Human Resources in the resolution of associate relations issues. • Translate organizational strategies into team goals; lead training sessions; mentor managers; develop plans to facilitate growth and development for team members; help identify potential opportunities for team members; conduct quarterly talent review, coach and counsel managers and assistant managers and help prepare them for next level. • Work in coordination with Director to include managing monthly budget and expenses; complete follow-up on outstanding invoices; may participate in budget development; apply key financial indicators (i.e., operating income, revenue, ROCC, and Flash) to help measure program financial performance. • Explain to clients how we ensure and track quality; manage quality trending; implement and ensure that processes are in place to monitor quality and program compliance; collaborate with Compliance team on program audits; ensure ongoing program compliance to policies and procedures; work with leadership team to address audit findings and to implement corrective action. • Support company initiatives; exemplify core values; accept and effectively communicate decisions on company policies, plans and programs; ensure open communication at all levels; and reward appropriate behavior. • May collaborate across various groups (i.e. IT, PMO, NBD) on program projects, new service line implementations, database updates, UAT. May require travel to attend client meetings, training, or to support team members across multiple offices. • Performs related duties as assigned.

🎯 Requirements

• Requires broad training in fields such as business or healthcare administration, accountancy, sales, marketing, computer sciences, social work or other vocations generally obtained through completion of a four year bachelor's degree program or clinical studies such as nursing, pharmacy and other clinical roles. • Normally requires a minimum of five (5) years of progressively related responsibility, including at least three (3) years at a supervisory level. • General knowledge of reimbursement and patient assistance programs and database elements and functionality; operational policies and processes, particularly distribution processes/interfaces preferred. • Client management experience. • Strong verbal and written communications skills and demonstrated presentation skills. • Ability to lead and develop others. • Ability to collaborate and work across groups to make decisions and resolve issues. • Strong interpersonal skills. • Strong organizational skills; attention to detail. • Proficient in Microsoft Office (Excel, Outlook, Word, PowerPoint).

🏖️ Benefits

• Must be flexible on schedule and hours • Some Travel may be required