Hub Operations Manager, Reimbursement Programs

CareMetx, LLC; United States; On-site; USD 70,000 - 80,000; Full time

Job summary

CareMetx, LLC is seeking an Operations Manager (HUB) to oversee a pharmaceutical hub reimbursement program. You will direct administration, ensure contractual obligations are met, and design programs to motivate and develop supervisors toward career progression.

The role requires 4+ years in reimbursement hubs or related healthcare settings and 2+ years of supervisory experience, with extensive travel (60%). Proficiency in Microsoft Office and strong communication skills are essential.

Qualifications

• 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 to management.
• Health care research and analysis skills sufficient to support payer research, healthcare policy library and state management.

Responsibilities

• 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.

Skills

Interpersonal skills

Communication skills

Attention to detail

Task management

Multitasking

Healthcare reimbursement knowledge

Tools

Microsoft Office

Job description

CareMetx, LLC is seeking an Operations Manager (HUB) to oversee a pharmaceutical hub reimbursement program. You will direct administration, ensure contractual obligations are met, and design programs to motivate and develop supervisors toward career progression.

The role requires 4+ years in reimbursement hubs or related healthcare settings and 2+ years of supervisory experience, with extensive travel (60%). Proficiency in Microsoft Office and strong communication skills are essential.