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Operations Manager
CareMetx, LLC. Administer a pharmaceutical hub reimbursement operation program under the direction of Senior Operations leadership/Director .
About the role
Key responsibilities & impact- Administer a pharmaceutical hub reimbursement operation program under the direction of Senior Operations leadership/Director
- Ensure the team meets contractual obligations
- Design programs promoting 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 to team members
- Help associates resolve work-related issues
- Support new associates’ 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 and prepare agendas or 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
- Ensure program quality and compliance with SOPs
- Design project task plans and standard operating procedures
- Analyze reports and trends and provide recommendations
- Analyze progress of tactical issues
- Report adverse events in alignment with training and SOPs
- Maintain regular and reliable attendance
- Perform other related duties as assigned
Requirements
What you’ll need- 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, operational policies and processes, particularly distribution processes/interfaces
- Proven ability to appropriately escalate issues to management
- Healthcare 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
Comp & perks- Equal employment opportunity
- Reasonable accommodations for individuals with disabilities
- Supportive human review in recruiting and employment decisions involving AI tools