Director, Patient Services

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Job Type

Full-time

Description

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy. Job Title: Director Patient Services

POSITION SUMMARY:

Under the general direction of the designated manager the Director is typically responsible for a strategic business unit or an entity within a strategic business unit. The Director may also head-up a functional area. This position works with senior management to help create and implement strategic goals that are designed to grow the business. The Director typically oversees a management staff and provides guidance on strategic and operational issues and/or client initiatives. The Director typically manages a budget and may help to develop new business to support budget projections.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Provides operational and account leadership on multiple patient services client accounts.
• Responsible for key client meetings and interactions.
• Overall responsibility for timeliness, accuracy, and completeness of all services including risk identification and mitigation.
• Manages operational relationship with Client including program performance, escalations, and Business Reviews.
• Creates mission and works with management team to ensure a clear understanding of team mission and goals.
• Works with management team to help identify skills that are needed for projects or work activities and match skill requirements with talent.
• Develops performance standards for management team and measures success against performance standards.
• Partners with cross functional organizational departments to support business growth to create innovative business expansion and/or new services.
• Responsible for adherence to contracts as well as patient services tools and standards.
• Stays abreast of industry trends and important pending legislation impacting business.
• May maintain specialized technical skills in a disease state, hold expert medical knowledge on reimbursement strategies, and/or possesses functional knowledge.
• Identifies and collaborates with internal and external resources and experts.
• Develops succession plans for key management team members.
• Recruits, trains and develops operational leaders.
• Provides leadership to team and participates as facilitator for learning programs.
• Oversight/guidance/evaluation of Senior Manager effectiveness.
• Coaching/developing Senior Managers to identify root cause and remediation plans for operational challenges.
• P&L accountability of aligned Patient Services business unit.
• Allocates human and financial resources as appropriate to ensure objectives are accomplished.
• Trains managers on financial matters related to performing job responsibilities.
• Responsible for interpreting contractual language for Senior Managers to successfully manage program activities within contractual terms.
• Overall responsibility for timeliness, accuracy, and completeness of all services; identifies areas for risk.
• Fosters proactive, continued quality improvement; ensures and maintains highest integrity and honesty in all business activities.
• Works closely with Operational Excellence teams to ensure successful service delivery and project implementation.
• Responsible for corporate culture to include embracing and fostering company values.
• Supports company programs and initiatives; adheres to company policies and procedures.
• Represents the company to associates and the public.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Requires broad training in fields such as business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year bachelor's degree program or equivalent combination of experience and education.
• Normally requires a minimum of seven (7) years of experience.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• General knowledge of reimbursement and patient assistance programs and database elements and functionality; operational policies and processes, particularly distribution/interfaces.
• Strong interpersonal skills.
• Strong organizational skills; attention to detail.
• Ability to proficiently use computer and standard office equipment.
• Working knowledge of Microsoft Office.
• The ability to manage multiple tasks along a parallel process.
• Health care research and analysis skills sufficient to support payer research, healthcare policy library, and state management.
• Ability to resolve associate issues effectively and efficiently.
• Critical thinking skills.
• Strong industry and company business knowledge.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit.
• The employee must occasionally lift and/or move up to 10 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Schedule:

• Must be flexible on schedule and hours.
• Some Travel may be required.

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply. At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services. CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Artificial Intelligence in Our Recruiting and Employment Process

CareMetx uses artificial intelligence and automated decision-making technology to support parts of our recruiting, hiring, and employment process, including screening applications, scheduling interviews, and evaluating candidate qualifications. These tools support, not replace, human judgment. A qualified member of our team reviews and makes all final hiring and employment decisions.

CareMetx does not develop or use AI tools with the intent to discriminate against applicants or employees on the basis of race, color, religion, sex, age, sexual orientation, national origin, disability, veteran status, or any other protected characteristic.