Supervisor, Clinical Operations (RN) (remote)

Navitus Health Solutions, LLC

Earth City (MO)

Remote

USD 90,000 - 120,000

Full time

11 days ago

Get a reply from this employer

Your resume and cover letter, tailored to exactly what they’re hiring for.

Get past ATS filters

Benefits offered by this job

Health, Dental, Vision insurance

Paid time off – 20 days

Parental leave – 4 weeks

Holidays – 9 days

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance & Professional

Referral Bonus Program – up to $750

Job summary

Archimedes is seeking a Supervisor, Clinical Operations to join our team. This can be a fully remote role.

You will oversee high-touch clinical case management activities, telephonic member and provider support, and day-to-day operational execution to support specialty drug programs for employer, health system, and health plan clients. The role requires an RN license, 2+ years of nursing experience, and 1–2 years of leadership.

Qualifications

Associate's degree in Nursing or related clinical field required.
Current, active Registered Nurse license in good standing required.
2+ years of Nursing experience in Patient Care, Managed Care, Case Management, Medical Management, Utilization Management, or Specialty Drug Management required.
1-2 years of people leadership experience preferred.
Experience supporting medical management or billing functions within a health plan, third-party administrator, provider office, infusion setting, or pharmacy environment required.
Participate in, adhere to, and support compliance program objectives.
The ability to consistently interact cooperatively and respectfully with other employees.

Responsibilities

Deliver telephonic support to identified patients, caregivers, healthcare professionals, and clinical office staff related to specialty drug management programs.
Lead high-touch case management activities that produce quantifiable, quality results for Archimedes programs.
Maintain program quality and customer service standards while meeting established operational goals.
Develop and strengthen relationships with members, prescribers, pharmacies, vendors, and other program stakeholders.
Facilitate coordinated service delivery across multiple healthcare sectors to support specialty drug benefit management.
Monitor case activity, program trends, and operational barriers to identify opportunities for improved outcomes and workflow efficiency.
Provide guidance, coaching, and support to team members to promote accountability, growth, and consistent execution of program expectations.
Assist director in strategic case management and process enhancement.
Other duties as assigned.

Skills

Nursing experience

RN license

Leadership experience

Medical management experience

Compliance awareness

Collaborative teamwork

Education

Associate’s degree in Nursing

Bachelor’s degree preferred

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 Supervisor, Clinical Operations to join our team! This can be a fully remote role.

The Supervisor, Clinical Operations supports Archimedes' specialty drug management programs for employer, health system, and health plan clients by overseeing high-touch clinical case management activities, telephonic member and provider support, and day-to-day operational execution. This position interacts closely with members, caregivers, prescribers, pharmacies, vendors, account management, and internal clinical operations teams to support quality outcomes and specialty drug benefit management.

The Supervisor, Clinical Operations contributes to the organization's specialty drug management strategy by advancing efficient, clinically informed processes that support measurable program results, strong customer service, and coordinated service delivery across multiple healthcare sectors. The Supervisor helps strengthen program performance while supporting Archimedes' continued growth in specialty medical management.

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 clinical office staff related to specialty drug management programs.
Lead high-touch case management activities that produce quantifiable, quality results for Archimedes programs.
Maintain program quality and customer service standards while meeting established operational goals.
Develop and strengthen relationships with members, prescribers, pharmacies, vendors, and other program stakeholders.
Facilitate coordinated service delivery across multiple healthcare sectors to support specialty drug benefit management.
Monitor case activity, program trends, and operational barriers to identify opportunities for improved outcomes and workflow efficiency.
Provide guidance, coaching, and support to team members to promote accountability, growth, and consistent execution of program expectations.
Assist director in strategic case management and process enhancement.
Other duties as assigned.

Qualifications

What our team expects from you?

Associate's degree in Nursing or related clinical field required. Bachelor's degree preferred.
Current, active Registered Nurse license in good standing required.
2+ years of Nursing experience in Patient Care, Managed Care, Case Management, Medical Management, Utilization Management, or Specialty Drug Management required.
1-2 years of people leadership experience preferred.
Experience supporting medical management or billing functions within a health plan, third-party administrator, provider office, infusion setting, or pharmacy environment required.
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?