Assistant Manager Clinical Operations - Archimedes

Navitus-Health-Solutions-Lumicera-Health-Services; Missouri; Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Time off 20 days

Parental leave

Holidays 9

401K match

Adoption assistance

FSA

Education assistance

Referral bonus

Job summary

Archimedes is seeking an Assistant Manager, Clinical Operations to join our team. This role can be fully remote and requires a licensed RN with 5+ years in nursing, managed care or medical management.

You will manage telephonic patient support, lead high-touch case management, and coordinate with prescribers and providers to deliver exceptional care within a specialty drug program.

Qualifications

• RN preferred and licensed to practice in the US.
• 5+ years nursing experience in managed care, case or medical management.
• Experience with medical management or billing in health plans or TPAs.
• Strong interpersonal, analytical and communication skills.

Responsibilities

• Provide telephonic support to patients, caregivers and healthcare staff.
• Lead high-touch case management to achieve program goals.
• Maintain quality and customer service aligned with program targets.
• Develop relationships with members, prescribers and pharmacies.
• Support cross-sector service delivery across healthcare.

Skills

RN

Managed care

Communication

Prioritization

Education

RN License

Tools

Microsoft Excel

SQL

Job description

Company

Archimedes

About Us

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $0.00 - USD $0.00 /Yr.

STAR Bonus % (At Risk Maximum)

0.00

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

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 holidays
• 401K 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

Location : Address

502 Earth City Expy STE 300

Location : City

Earth City

Location : State/Province

MO

Location : Postal Code

63045

Location : Country

US