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ConnectiveRxPosted 10/19/2026full-timeWhippany • New Jersey • United StatesSeniorLead💰 $61,900 - $106,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong leadership in managing healthcare teams, ensuring compliance with regulatory requirements, and driving operational efficiency. Skilled in claims processing, patient concierge services, and enhancing patient outcomes through effective communication and problem-solving.
Highest-signal resume keywords
Healthcare LeadershipClaims ProcessingPatient Concierge ServicesOperational ExecutionCustomer Service Excellence
About the role
Key responsibilities & impact- Manage approximately 45–60 staff members across one or more teams
- Deliver patient concierge healthcare services and enable access to prescription medication care
- Lead a high-concierge “white glove” service team across the patient experience
- Provide program information, eligibility support, reimbursement support, and general assurances
- Manage claims processing and inbound phone inquiries, including outbound requests for information
- Set strategic direction and oversee team performance and company/client service levels
- Convert department MBOs into team and individual performance goals
- Communicate results to senior and executive-level management
- Investigate service-level issues, determine root causes, develop remediation plans, and escalate as appropriate
- Ensure compliance with applicable compliance and regulatory requirements
- Conduct performance reviews and one-on-one coaching with Supervisors
- Create supervisor development plans and oversee associate development plans
- Maintain succession planning and organizational bench strength
- Provide input into budget creation and attain budget goals
- Analyze call performance data to improve patient/HCP experience
- Partner with Workforce Management on staffing models, operational efficiency, productivity, and administrative cost reduction
- Collaborate with Program Management partners to ensure program execution
- Participate in client meetings and Quarterly Business Reviews, including developing and presenting materials
- Partner with IT to resolve system deficiencies, recommend enhancements, and test new products or functionality
- Ensure team adherence to company and client policies and procedures
- Prepare CAPA documentation and provide SOC-2 auditing materials
Requirements
What you’ll need- College Degree or the equivalent amount of experience required
- 7–10 years in a healthcare setting
- Experience in claims processing and high-volume call centers
- Experience in pharmacy benefits and healthcare insurance strongly preferred
- Strong experience in a healthcare payor or patient experience setting
- Healthcare or pharmaceutical experience required
- Demonstrated leadership abilities
- Excellent oral and written communication skills
- Excellent organizational skills
- Demonstrated ability to drive world-class customer service and patient outcomes
- Extreme sense of patient/customer empathy
- Strong creative problem-solving skills
- Ability to manage effectively through ambiguity and complex situations
- Skilled at operational execution and driving results
Benefits
Comp & perks- Bonus or commissions opportunity
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- 401(k) plan with employer contributions where applicable
- Flexible paid time off (PTO) policy for exempt employees, covering sick days, personal days, and vacations
- Eight standard company holidays annually
- Three floating holidays annually
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims ProcessingHealthcare InsurancePharmacy BenefitsProgram ManagementData AnalysisBudget CreationRegulatory CompliancePerformance ReviewCAPA DocumentationStaffing Models
Soft Skills
Excellent Communication SkillsOrganizational SkillsCreative Problem-SolvingEmpathyAbility to Manage Ambiguity
Tools & Technologies
Call Center SystemsPerformance Data Analysis ToolsBudgeting SoftwareCAPA Documentation ToolsSOC-2 Auditing Materials
Industry Keywords
Healthcare SettingPatient ExperienceHigh-Volume Call CentersConcierge Healthcare ServicesService-Level Issues