Operations Leader, Patient Access Hub

Caremetx-LL; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

CareMetx is seeking an Operations Manager (HUB) to lead a high‑performing team of Case Managers who educate patients and families on product access and reimbursement. You will work with patients, caregivers, and providers to support therapy access and ensure ongoing adherence to treatment plans.

The role requires extensive healthcare industry experience, people leadership, and travel up to 20% to coordinate across territories.

Qualifications

• Minimum 5+ years experience in the pharmaceutical/healthcare industry.
• Minimum 4+ years reimbursement management experience (reimbursement hub, specialty pharmacy, physician’s office, medical insurance, healthcare setting, and/or related experience).
• Minimum 3+ years direct people management experience.
• Minimum 2+ years cell/gene therapy
• Minimum 2+ years experience/exposure to pediatric patients & CareGivers.
• Bachelor’s Degree (general business, health sciences, public policy, or other related degrees) preferred
• Licensed Social worker, Patient Advocacy or equivalent experience preferred
• Ability to travel (overnight) up to 20% of the time within all territories (East, Central, Mountain, Pacific)
• Schedule flexibility to provide backup coverage for program operations and covering Case Manager responsibilities in the event of planned/unplanned absences.

Responsibilities

• Oversees and coaches a high performing team of Case Managers educating patients and families on access and reimbursement processes.
• Educates patients, caregivers and providers to support access to therapy and ongoing adherence.
• Participates in hiring and termination processes and develops training programs.
• Ensures contract obligations are met and program quality/compliance with SOPs.
• Designs and maintains SOPs, work instructions and job aids.
• Analyses reports for trends and makes recommendations to improve outcomes.

Skills

People management

Communication

Multitasking

MS Office

Client liaison

Education

Bachelor’s degree

Licensed Social Worker preferred

Job description

CareMetx is seeking an Operations Manager (HUB) to lead a high‑performing team of Case Managers who educate patients and families on product access and reimbursement. You will work with patients, caregivers, and providers to support therapy access and ensure ongoing adherence to treatment plans.

The role requires extensive healthcare industry experience, people leadership, and travel up to 20% to coordinate across territories.