
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.
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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.
• Independently define technical program solutions, timelines, and scope for standard CareMetx offerings • Coordinate cost and pricing inputs with Product Management and Commercial teams during opportunity deal stages • Map client requirements to hub operational capabilities, technology platforms, and workflows • Design end-to-end workflows for medical, pharmacy, and adherence services, including enrollment, benefits verification, prior authorization, copay assistance, and patient engagement • Identify and document gaps, assumptions, constraints, out-of-scope items, and feasibility risks • Support proposal development, client presentations, and early solution demonstrations • Lead requirements intake and workflow design sessions with operational, technical, and compliance stakeholders • Produce and maintain configuration documents, workflow diagrams, and program materials • Facilitate program design reviews and obtain review and signature for the Program Rules Document • Contribute solution expertise throughout Sales and Implementation through go-live • Support client escalations related to solution and scope management • Maintain regular and reliable attendance • Perform other duties as assigned
• Minimum of 5 years’ experience in IT technology, software implementation, solution design, or equivalent • Minimum of 5 years’ experience in pharmaceutical, medical device, biotech, or healthcare hub services industries • Bachelor’s degree in a business-related field or technology • Experience in healthcare operations, patient support hubs, reimbursement services, or healthcare solution design • Solid knowledge of hub, pharmacy, and/or adherence services • Systems thinking mindset and ability to understand impacts across products, services, and solution design • Ability to translate client and patient needs into structured operational and system requirements • Experience documenting workflows, business requirements, and system configurations • Strong stakeholder facilitation and cross-functional collaboration skills • Experience supporting RFPs, proposals, or client solution demos preferred • Ability to communicate clearly and precisely at all levels, both written and verbally • Must be flexible on schedule and hours • Some travel may be required
• Equivalent combinations of experience and education are considered • Reasonable accommodations may be made for individuals with disabilities • Equal employment opportunity protections • Flexible schedule and hours
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