Operations Manager

Role Overview

• Ensures team is meeting contractual obligations
• Design 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 in which 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)
• Maintain 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
• 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 programs, database elements and functionality; operational policies and processes particularly distribution processes / interfaces
• Proven ability to appropriately escalate issue to management
• Health care research and analysis skills sufficient to support payer research, healthcare policy library and state management

Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
• CareMetx considers equivalent combinations of experience and education for most jobs
• Extensive Travel is required (60% travel)