Operations Manager, Patient Services

MedStar Health; Bridgewater (MA); Remote; USD 155,000 - 180,000; Full time

Job summary

Une entreprise de santé cherche un Operations Manager pour le Patient Services. Le candidat idéal aura 5 ans d'expérience dans les programmes de remboursement de l'industrie pharmaceutique et devra gérer des projets tout en ayant un souci constant d'amélioration de la qualité des services offerts aux patients. Ce rôle offre la possibilité de travailler à distance avec des déplacements fréquents en fonction de la proximité des sites de programme. Les candidats doivent être très organisés et capables de gérer plusieurs priorités.

Benefits

Total Rewards package

Competitive pay and benefits

Qualifications

• Minimum de 5 ans d'expérience en programmes de remboursement.
• Connaissances approfondies des opérations des payeurs et des processus d'autorisation préalable.
• Qualification en gestion de projet est préférée.

Responsibilities

• Soutenir les programmes de services aux patients et gérer les projets associés.
• Servir de point de contact principal pour les tiers soutenant les programmes.
• Faire des audits hebdomadaires pour garantir la conformité avec les politiques.

Skills

Communication

Problem Solving

Project Management

Analytical Skills

Education

Bachelor's degree

Job description

Job Title

Operations Manager, Patient Services

Requisition

JR000015028 Operations Manager, Patient Services (Open)

Location

Bridgewater, NJ

Additional Locations

Job Description Summary

Job Description

The Operations Manager, Patient Services is responsible for the day-to-day support of the Patient Services Program(s) through project management and ongoing quality and monitoring procedures. The Operations Manager, Patient Services supports the Senior Director, Director and Senior Manager of Patient Services & Reimbursement through collaboration and partnership to ensure consistency and optimal support to our patients and HCPs. We are seeking an individual with direct experience in patient services within a reimbursement HUB and a proven track record of effective project management or program oversight.

Principal Responsibilities

• Provide day-to-day support and organizational oversight for the Patient Services team, including management of team activities and operations.

• Serve as the project management lead for all patient services activities, including partnering with stakeholders to define deliverables, managing meetings and documentation, tracking timelines, and providing regular status and risk updates on programs to internal leadership.

• Serve as the main point of contact for third parties supporting patient services programs including but not limited to: agency support, patient material vendors, and quality call monitoring program

• Manage purchase orders and invoice tracking for all patient services programs

• Manage patient support materials through the promotional resource committee (PRC) in partnership with SMEs and agencies for development of content, draft review with stakeholders, submission and tracking of internal PRC workflows, communication of newly approved materials to key stakeholders, and tracking of expiry materials for compliance

• Collaborate with IT and system teams to ensure pull through of patient service materials and roll out with end users for the patient services vendors

• Conduct weekly case audits to ensure vendor compliance with policies, SOPs, business rules and creation and tracking of CAPAs as required

• Report case findings and provide feedback to Mallinckrodt management, highlighting trends, successes, and opportunities for improvement

• Provide quality oversight and management with vendor quality teams to ensure quality monitoring matches identified program risks and training pull through is adhered to for identified quality issues

• Compliance monitoring for Mallinckrodt training requirements

• Identify program experience gaps by monitoring weekly live calls, reporting findings to vendors for coaching, and collaborating with patient services leadership to implement process improvements

Minimum Requirements

• Bachelor's degree or equivalent relevant experience

• 5+ years of experience with reimbursement and affordability programs in the pharmaceutical industry. Rare disease experience is a plus.

• Strong written and verbal communication skills, with the ability to provide constructive feedback and clearly convey information tailored to diverse audiences

• Strong problem-solving skills, with the ability to apply analytical insights to drive effective solutions

• Highly organized and detail-oriented, capable of independently managing multiple priorities and deadlines; project management experience is preferred

• In-depth knowledge of benefit designs, payer operations, prior authorization, and appeals processes

• Willingness to travel and work extended or irregular hours as needed

Organizational Relationship/Scope:

This position works in close collaboration with external vendors and internal Commercial leadership. As it supports programs in the rare disease space, a deep commitment to improving patient outcomes and enhancing quality of life is essential.

Working Conditions:

This is a remote position or based in Bridgewater, NJ; however, frequent travel to patient support program sites is required. Travel is estimated at approximately 25% but may increase up to 50% depending on the candidate's proximity to key program locations.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position.

The expected base pay range for this position is $155,000-180,000. Please note that base pay offered may vary depending on factors including job-related knowledge, skills, and experience. This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.

Mallinckrodt Pharmaceuticals offers employees a Total Rewards package which includes competitive pay and benefits.To learn more about our Total Rewards benefits please visit: Benefits & Well-Being

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