Operations Manager

atCareMetx, LLCRemoteUS flagUnited StatesFull-timeOperationsMid-levelSenior$70k – $80k/year

Posted 9 hours ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the operation of a pharmaceutical hub reimbursement program under the guidance of Senior Operations leadership/Director.

• Ensure the team fulfills contractual obligations.

• Create programs that foster high motivation among team members.

• Conduct performance evaluations and recognize positive contributions.

• Mentor, advise, and establish goals for supervisors to facilitate career development.

• Provide daily guidance to team members.

• Assist associates in resolving work-related challenges.

• Support the growth and development of new associates.

• Engage in the hiring and termination procedures.

• Develop, design, and implement Train the Trainer programs.

• Offer constructive and positive feedback throughout the organization.

• Attend client meetings and prepare agendas or take minutes.

• Ensure effective communication with program support.

• Translate and manage organizational strategies to meet assigned goals.

• Identify, receive, and prioritize client issues and requests.

• Actively identify program challenges and propose solutions.

• Maintain a positive relationship with clients.

• Understand billing procedures and contractual commitments.

• Participate in budget planning activities.

• Ensure program quality and adherence to SOPs.

• Design project task plans and standard operating procedures.

• Analyze reports and trends, providing recommendations accordingly.

• Evaluate the progress of tactical issues.

• Report adverse events in accordance with training and SOPs.

• Maintain consistent and reliable attendance.

• Perform additional related duties as assigned.


⛳️ Requirements

• A minimum of 4+ years of experience in a reimbursement hub, specialty pharmacy, physician’s office, medical insurance, healthcare setting, or similar experience.

• At least 2+ years of supervisory experience is required.

• Strong interpersonal skills and meticulous attention to detail.

• Effective communication skills, both verbal and written.

• Ability to handle multiple tasks simultaneously.

• Proficiency in Microsoft Office.

• Capability to resolve associate issues promptly and effectively.

• General understanding of reimbursement, patient assistance programs, database elements and functionalities, and operational policies and processes, especially in distribution.

• Proven ability to escalate issues appropriately to management.

• Skills in healthcare research and analysis to support payer research, healthcare policy library, and state management.

• Must have a flexible schedule and be adaptable with hours.

• Willingness to travel extensively (60% travel required).

• CareMetx acknowledges equivalent combinations of experience and education for most positions.


🏝️ Benefits

• Equal employment opportunity.

• Reasonable accommodations for individuals with disabilities.

• Supportive human review in recruitment and employment decisions involving AI tools.

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