Note: The job is a remote job and is open to candidates in USA. CareMetx, LLC is dedicated to delivering industry-leading patient access solutions and support services. The Operations Manager is responsible for overseeing the administration of a pharmaceutical hub reimbursement operation program, ensuring contractual obligations are met and fostering team development.
Responsibilities
- 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
Skills
- 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
Company Overview
Company H1B Sponsorship