Assistant Manager Clinical Operations - Archimedes

Archimedes; Earth City (MO); Remote; USD 75,000 - 105,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

20 days paid time off

4 weeks paid parental leave

9 holidays

401K company match of up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Job summary

Archimedes is seeking an Assistant Manager, Clinical Operations to join our team. This is a fully remote role for a full-time nurse with experience in managed care and specialty drug management.

You will provide telephonic support to patients and healthcare professionals, lead high-touch case management, and ensure high-quality service across Archimedes programs. The role requires strong communication, analytical skills, and the ability to manage multiple priorities with minimal supervision.

Qualifications

• RN preferred.
• 5+ years of work experience in nursing, managed care supporting case management, medical management and/or utilization management.
• Experience in medical management/billing at a health plan or TPA.

Responsibilities

• Deliver telephonic support to identified patients, caregivers, healthcare professionals and their staff with primary care or specialist facilities related to specialty drug management.
• Lead the high touch case management in producing quantifiable, quality results for Archimedes programs.
• Maintain excellent quality and superior customer service while adhering to goals of program.
• Develop and strengthen relationships with members, prescribers, pharmacies and other vendors.
• Facilitate the development and provision of services across multiple healthcare sectors.
• Other duties as assigned.

Skills

Nursing

Managed care experience

Phone/telephonic communication

Detail oriented

Analytical thinking

Proactive

Self-starter

Education

RN license

Tools

Microsoft Excel

SQL

Job description

Overview

Archimedes is seeking an Assistant Manager, Clinical Operations to join our team! This can be a fully remote role.

Archimedes is hiring a full-time nurse to work with our employer, health system and health plan clients to manage the specialty drug benefit. Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has drug management experience and a passion for managed care. Given our continued growth trajectory, we are looking for a person who can grow with the company.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Deliver telephonic support to identified patients, caregivers, healthcare professionals and their staff with primary care or specialist facilities related to specialty drug management.
• Lead the high touch case management in producing quantifiable, quality results for Archimedes programs.
• Maintain excellent quality and superior customer service while adhering to goals of program.
• Develop and strengthen relationships with members, prescribers, pharmacies and other vendors.
• Facilitate the development and provision of services across multiple healthcare sectors.
• Other duties as assigned.

Qualifications

What our team expects from you?

• RN Preferred
• 5+ years of work experience in nursing, managed care supporting case management, medical management and/or utilization management.
• Experience in medical management/billing at a health plan or TPA
• Excellent interpersonal skills and articulate on the phone
• Efficient, yet attentive to detail with the ability to manage multiple priorities with minimal supervision.
• Excellent critical thinking skills with ability to quickly spot issues
• Quantitative and analytical, yet engaging and personable
• Independent, proactive, forward-thinking, creative problem solver, results-oriented with strong verbal/written communication skills, self-starter
• Working knowledge of Microsoft Excel and SQL experience is a plus
• Ability and willingness to be in office up to 5 days a week (standard 3).
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Archimedes?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program - up to $750!

#LI-Remote

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities.