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Shared Services Project Manager

External
houserx logoHouserx · Remote
Full-timeRemote2mo ago
AuditingComplianceLeadershipVPN
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Responsibilities

  • Primary leader of customer facing calls, accountable for the completion of implementation steps
  • Implementation project management through customer calls, timely follow up, and use of project management tools
  • Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers
  • Coordination with leadership to drive implementation process efficiencies for credentialing, IT workstream, and other implementation related activities
  • Support for initiatives and related project work
  • Additional Responsibilities:
  • Ensure our clinic partners maintain adequate inventory & supplies to meet the needs of their patients
  • Work with clinic teams to streamline processes and workflows in coordination with clinical operations team
  • Manage any issues with patient prescription attainment, including tracking packages, troubleshooting carrier issues, and monitoring work queues as assigned.
  • Troubleshoot issues with claim processing, payment processing, equipment function (barcode scanners, label printers) and escalate to internal resources as appropriate
  • Triage support issues related to our PMS Platform for new and existing clinic partners
  • Act as a liaison between the patient, provider and our operational team to effectively and efficiently resolve issues. Problems happen, you are responsible for delighting as you solve them.
  • Primary responsibility in at least one of the following areas and cross-training in at least one additional area:
  • PBM audits - support our clinic partners to reduce risk of payor take backs by completing payor desktop audits
  • Claims reconciliation - support our clinic partners and invoicing process through timely reconciliation of claims, identify and address missing remits and payments, and provide weekly insight to program managers
  • Credentialing - work closely with clinic partners at new and established practices to complete initial credentialing with PBMs, credentialing renewals, state regulatory agency registration (where required), and manage enrollment in EFT and ERA
  • Accreditation - work closely with clinic partners to support initial and renewal accreditation with ACHC, URAC, and others. Support required program monitoring and auditing to maintain compliance with accreditation
  • Project management - implementation project management through leading customer calls, timely follow up, use of project management tools. Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers.
  • Supply management - ensure clinic partners maintain adequate inventory, optimizing supply chain efficiency while reducing costs.
  • Implementation IT workstream - work closely with implementation project manager to facilitate clinic partner IT workstream initiation, testing of EHR functionality (login, task groups, reporting, test eRx), and other IT related tasks (phone extension set up, VPN access, etc.)
  • About You
  • You are someone who loves to dig in and can think outside the box
  • You are a creative problem solver interested in positively impacting each patient's pharmacy experience
  • Self-motivated with sense of urgency for quality resolution
  • You have mastered all the core pharmacy technician skills, such as processing claims and dispensing medications, and are ready to expand your career
  • You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone
  • You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance
  • You are excited about working in a start-up environment and enjoy solving complex problems
  • You are someone who looks for proactive solutions and can identify more efficient workflows.
  • Excited about the opportunity, but worried you don't meet all the requirements? Apply anyway, and give us both the chance to find out.
  • Why You Should J

Additional Information

Join House Rx as a Shared Services Project Manager, where you will play a pivotal role in enhancing access and affordability of specialty medications for patients. You'll collaborate closely with specialty care clinics and our team to optimize the specialty pharmacy experience with a focus on implementation at new customer sites.


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