Operations Manager- Copay Manager

From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.

Job Title: Operations Manager (HUB) – Copay Programs

POSITION SUMMARY:

Under the general direction of Senior Operations leadership/Director, the Operations Manager (Copay Programs) is responsible for the overall administration of copay program enrollment as required by the client contract. The program overseen by this candidate is a pharmaceutical hub reimbursement operation program with a focus on patient enrollment in copay support services.

PRIMARY DUTIES AND RESPONSIBILITIES:

1. Ensures      team is meeting contractual obligations.
2. Design      programs which promote high motivation among team members.
3. Conducts      performance reviews and rewards positive behavior.
4. Coaches,      counsels, and sets goals for supervisors to help develop them for career      progression.
5. Provides      day-to-day instructions to team members on job responsibilities.
6. Helps      associates resolve associate work-related issues.
7. Supports      new associates in their efforts for growth and development.
8. Participates      in the hiring and termination process.
9. Develops      designs and conducts Train the Trainer program.
10. Provides      feedback up and down the organization (Positive and Constructive).
11. Participates      in client meetings; prepares agenda and / or takes meeting notes.
12. Ensures      open communication with program support.
13. Translates      and oversees organizational strategies for assigned goals.
14. Identifies      client issues; receives and triages client requests.
15. Proactively      identifies program issues and proposes ways in which to address their      concerns.
16. Maintains      positive rapport with client
17. Understands      the billing process and contractual obligations.
18. Participates      in budget planning.
19. Accountable      for program quality and compliance with standard operating procedures.
20. Designs      project task plan and standard operating procedures.
21. Analyzes      reports for trends and gives recommendations.
22. Analyzes      progress of tactical issues.
23. Reports      all Adverse Events (AE) disclosed in alignment with training and Standard      Operational Procedures (SOP)
24. Performs      related duties as assigned.

EXPERIENCE AND EDUCATIONAL 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.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

1. Strong      interpersonal skills and attention to detail.
2. Ability      to communicate effectively both orally and in writing.
3. The      ability to manage multiple tasks.
4. Working      knowledge of Microsoft Office.
5. Ability      to resolve associate issues effectively and efficiently.
6. General      knowledge of reimbursement, patient assistance programs, database elements      and functionality; operational policies and processes particularly affordability      and copay assistance programs.
7. Proven      ability to appropriately escalate issue to management.
8. Health      care research and analysis skills sufficient to support payer research,      healthcare policy library and state management.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While      performing the duties of this job, the employee is regularly required to      sit
• The      employee must occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
 

Schedule
? Must be flexible on schedule and hours
? Extensive travel is required (60% travel)
 

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.