Director, Digital Hub Operations (eServices)

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: Director, Digital HUB Operations

 POSITION SUMMARY:

Under the general direction of Senior Operations leadership, the Director, Digital HUB Operations is responsible for directing a team of managers or supervisors who are responsible for managing the digital hub services and processes offered within the company’s eServices products such as the Off-ramp support. The Director is responsible for the oversight of all team members providing the full range of eServices as well as assisting with client communications and implementations of Blizzard projects. The position will participate in other related projects and perform other functions as may be required from time to time.

PRIMARY DUTIES AND RESPONSIBILITIES:

1. Manage new and existing teams for digital hub operations related to eServices products, including program staffing.
2. Partner with Executive Sponsors and other Account Management leads to ensure programs are meeting and exceeding the expectations of clients.
3. Responsible for the management of the client program manager(s)
4. Participate in strategic and tactical planning sessions.
5. Make recommendations in the development of long-term strategies and lead projects within Digital HUB Operations to bring forward those strategies.
6. Present strategic and operational plans for the development of new service offerings and digital hub programs.
7. Develop measures of program success and provide both internal and client facing reporting, sharing analysis and outcomes of services offered.
8. Responsible for ensuring the quality of managed programs, ensuring that policies, standard operating procedures, and work instructions have been developed in line with corporate quality and program objectives; participate in client audits as required.
9. Responsible for overseeing the recruitment, training and management of program teams.
10. Manage or assist in scrubbing files, claims, blurbs, etc. involved in seasonal blizzard batches & implementations.
11. Performs related duties as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• College degree preferred
• Requires broad knowledge and training in the fields of healthcare, specialty pharmacy and eTransactions
• Requires a minimum Seven (7) years of experience
• Experience working directly with clients and leading group work sessions
• At least 5 years in a progressive management role
• A minimum experience in the pharmaceutical industry is required
• General knowledge of reimbursement, patient assistance programs, database elements and functionality; operational policies and processes
• Dynamic leader who can energize multidisciplinary work teams to learn and apply new skills and /or techniques to respond to the business needs
• Knowledge of full-service call center programs a plus

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

1. Strong customer/client management background
2. Exceptional project management skills with experience in organizing, planning, and executing projects from vision through implementation
3. Good analytical, conceptual, and problem-solving skills with demonstrated track record in new concept development for various projects
4. The ability to manage multiple tasks along a parallel process
5. Strong decision-making capabilities
6. Critical thinking skills, creative and innovative solutions to internal or external client needs
7. Technical skills working with large data file, manipulating data using traditional database tools.
8. Strong industry and business knowledge
9. Strategic thinker with long term planning experience
10. Ability to communicate effectively both orally and in writing
11. Possess strong interpersonal and leadership skills, be able to develop and grow talent
12. Strong organization agility, be able to manage team through change and lead by example
13. Ability to proficiently use computer and good knowledge of Microsoft Office

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
• Some travel may be required; weekend work may apply at time during training and production cycle

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.