Operations Manager

About the role

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy. Under the general direction of Senior Operations leadership/Director, the Operations Manager is responsible for the overall administration of a program or project as required by the client contract. The program overseen by this candidate is a pharmaceutical hub reimbursement operation program.

Responsibilities

• Ensures team is meeting contractual obligations.
• Designs 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 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).
• Maintains regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
• Performs other related duties as assigned.

Requirements

• 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.
• CareMetx considers equivalent combinations of experience and education for most jobs; candidates with equivalent background are encouraged to apply.

Skills

• 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