Operations Manager

CareMetx, LLC

. Responsible for the overall administration of a pharmaceutical hub reimbursement operation program as required by the client contract .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing pharmaceutical hub reimbursement operations, ensuring compliance with contractual obligations, and fostering team development through effective coaching and performance management. Proficient in analyzing operational processes and maintaining positive client relationships while navigating healthcare policies and reimbursement frameworks.

Highest-signal resume keywords

Reimbursement Hub ManagementSupervisory ExperienceHealthcare Policy KnowledgeClient Relationship ManagementMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement KnowledgePatient Assistance ProgramsOperational PoliciesData AnalysisProject Task PlanningStandard Operating ProceduresBudget PlanningPerformance ReviewIssue EscalationHealthcare Research

Soft Skills

Interpersonal SkillsEffective CommunicationProblem SolvingAttention to DetailTeam Motivation

Industry Keywords

Pharmaceutical HubSpecialty PharmacyHealthcare SettingMedical InsuranceClient MeetingsAdverse Events ReportingTraining ProgramsAssociate DevelopmentContractual ObligationsDistribution Processes

About the role

Key responsibilities & impact

Responsible for the overall administration of a pharmaceutical hub reimbursement operation program as required by the client contract
Ensure the team meets contractual obligations
Design programs that promote 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 on job responsibilities
Help associates resolve work-related issues
Support new associates in 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, prepare agendas, and 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
Maintain program quality and compliance with standard operating procedures
Design project task plans and standard operating procedures
Analyze reports and trends and provide recommendations
Analyze progress of tactical issues
Report all 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, and operational policies and processes, particularly distribution processes/interfaces
Proven ability to appropriately escalate issues to management
Health care 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

CareMetx equal employment opportunity employer
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions