Manager, Clinical Operations
2 months ago
EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results.
What We Do:
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.
Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client management teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we are looking for an exceptionally skilled and experienced Clinical Operations Manager to assume a crucial role in leading the Clinical Operations team and serving as the company's subject matter expert on operations support, including adjudication platform, clinical review operations and processes.
If you are a highly motivated Clinical Operations Manager, with a strong background in adjudication system related to claims processing and clinical review requirements and are driven to make a meaningful impact in the healthcare industry, we encourage you to apply.
What You'll Do:
As a Clinical Operations Manager, your role will encompass a wide range of responsibilities including the below:
- Function as the main point of contact for Clinical Concierge Services, ensuring the team effectively manages their caseload with timely and accurate execution while meeting their designated Key Performance Indicators (KPIs) and metrics.
- Manage the day-to-day functions within the Clinical Operations team and lead teams development towards delivering exceptional white-glove service.
- Serve as a subject matter expert on the adjudication system related to claims processing and clinical review processes.
- Effectively communicate and interact with all other EmpiRx Health departments in a manner that fosters teamwork and unity. Support team recruiting efforts by participating in the interview process for new hires.
- Ensure that daily processes and protocols are followed for case management and new staff training.
- Assist with handling escalations that cannot be resolved by the team or require supervisory action.
- Monitor the workload capacity of the Clinical Operations team and ensure their performance aligns with organizational KPIs.
- Ensure that best practices are maintained within the team to provide consistent high-quality concierge services.
- Strategically develop improved processes and streamline workstreams to increase efficiency.
- Provide effective support to the team as needed, including coverage and other responsibilities.
- BS (Bachelor’s) Required
- Minimum 5 years of people management experience
- Minimum 5 years of pharmacy experience
- Minimum 2 years of experience in PBM, health plan, or equivalent
- Proficiency in Microsoft Office Suite
- Claim adjudication experience preferred
- Remote people management preferred
- EmpiRx Health is on an extraordinary journey where excellence meets innovation.
- We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
- You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
- We offer a generous and competitive benefits package.
- You will share in the company's success through our discretionary bonus program.
EmpiRx Health is an equal opportunity employer. We are committed to creating a diverse and inclusive environment for all employees. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
All employment decisions are based on business needs, job requirements, and individual qualifications. We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. EmpiRx Health celebrates diversity and is committed to creating an inclusive environment for all employees.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Careers - EmpiRx Health
*No recruiters, please*
Powered by JazzHR
HzAMIYPm52
-
Clinical Operations Manager
1 month ago
Orlando, Florida, United States ThermoFisher Scientific Full timeWork ScheduleStandard (Mon-Fri)Environmental ConditionsOfficeJob DescriptionSummarized Purpose: Supervises the activities of several clinical departments and manages their continued training and development. Assures the proper conduct of research studies by overseeing the safety, scheduling and operational aspects of the clinic. Collaborates with executive...
-
Pediatric Clinical Operations Manager
6 days ago
Orlando, Florida, United States GenCare Resources Full timePediatric Clinical Operations Manager RoleThe Pediatric Clinical Operations Manager is pivotal in supervising clinical activities and ensuring the provision of exceptional in-home care for pediatric patients. This role is vital for upholding care standards, guiding the nursing team, and working alongside other healthcare professionals to enhance patient...
-
Clinic Operations Manager
6 days ago
Orlando, Florida, United States American Family Care Franchise 2001 Full timeJob OverviewBenefits and PerksPaid time offHealth insuranceDental coverageRetirement savings plansIncentives for employee referralsSupportive small business environmentFlexible work schedulesAdditional benefitsPosition SummaryThe role involves overseeing the daily operations of an urgent care facility. This includes managing all non-physician staff members,...
-
Manager of Clinical Research Operations
6 days ago
Orlando, Florida, United States AdventHealth Full timeComprehensive Benefits Package:Enjoy a range of benefits from your first day, including:- Paid Time Off- Student Loan Repayment Assistance- Mental Health Support ServicesOur Commitment to You:Joining AdventHealth means becoming part of a larger mission. It's about being part of a community that values the holistic well-being of every individual and strives...
-
Clinical Operations Coordinator
19 hours ago
Orlando, Florida, United States EmpiRx Health Full timeJob OverviewAbout EmpiRx Health:EmpiRx Health stands at the forefront of pharmacy benefits management, dedicated to a clinically-driven approach. As innovators in value-based pharmacy care, we prioritize our customers and members, empowering them to manage their pharmacy benefits, health outcomes, and financial implications effectively.Our Mission:We...
-
Clinical Operations Supervisor
6 days ago
Orlando, Florida, United States CHARTER RESEARCH Full timeJob OverviewCompany OverviewCharter Research is a dynamic and rapidly expanding clinical research organization dedicated to the discovery of innovative therapies. We pride ourselves on delivering outstanding patient experiences and implementing effective recruitment strategies for our partners.Position SummaryThe Clinical Operations Supervisor is tasked with...
-
Clinical Operations Specialist
2 months ago
Orlando, United States EmpiRx Health Full timeJob DescriptionJob DescriptionWho We Are:EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results.What We Do:We place more emphasis...
-
Clinical Operations Coordinator
6 days ago
Orlando, Florida, United States EmpiRx Health Full timeJob OverviewAbout EmpiRx Health:EmpiRx Health stands at the forefront of pharmacy benefits management, driven by clinical excellence. As a leader in value-based pharmacy care, we prioritize our customers and members, empowering them to manage their pharmacy benefits, healthcare outcomes, and financial implications effectively.Our Mission:We emphasize member...
-
Clinical Operations Supervisor
23 hours ago
Orlando, Florida, United States CHARTER RESEARCH Full timeJob OverviewCompany OverviewCharter Research is a rapidly expanding clinical research organization dedicated to advancing medical science through innovative research initiatives. We are committed to delivering exceptional patient experiences and implementing effective recruitment strategies for our partners.Position SummaryThe Clinical Operations Supervisor...
-
Clinical Operations Supervisor
17 hours ago
Orlando, Florida, United States CHARTER RESEARCH Full timeJob OverviewCompany BackgroundCharter Research is a rapidly expanding clinical research organization dedicated to advancing medical science. We pride ourselves on delivering outstanding patient experiences and implementing effective recruitment strategies for our sponsors. Our commitment to teamwork is at the core of our operations, and we are looking for a...
-
Clinical Operations Coordinator
6 days ago
Orlando, Florida, United States EmpiRx Health Full timeJob OverviewAbout EmpiRx Health:EmpiRx Health stands at the forefront of pharmacy benefits management, driven by clinical excellence. As a leader in value-based pharmacy care, we prioritize our customers and members, empowering them to manage their pharmacy benefits, healthcare outcomes, and financial health effectively.Our Mission:We emphasize member care...
-
Assistant Nurse Manager
21 hours ago
Orlando, Florida, United States Orlando Health Full timeAssistant Nurse Manager - Clinical Operations RNPosition Overview: The Assistant Nurse Manager (ANM) plays a pivotal role in overseeing the daily operations within the clinical environment, ensuring the provision of exceptional care, outstanding patient experiences, and efficient patient management.In collaboration with the Nursing Operations Manager and the...
-
Clinical Manager
2 months ago
Orlando, United States GenCare Resources Full timeJob DescriptionJob DescriptionOverview:The Clinical Manager plays a crucial role in overseeing the clinical operations and ensuring the delivery of high-quality in-home pediatric patient care. This position is essential for maintaining the standards of care, leading the nursing team, and collaborating with other healthcare professionals to optimize patient...
-
Clinical Operations Pharmacy Specialist
6 days ago
Orlando, Florida, United States EmpiRx Health Full timeAbout Us:EmpiRx Health stands at the forefront of pharmacy benefits management, driven by clinical excellence. As a trailblazer in value-oriented pharmacy care, we prioritize our customers and members, empowering them to manage their pharmacy benefits, healthcare outcomes, and financial health effectively.Our Mission:We prioritize member care above all,...
-
Clinical Operations Assistant Manager
6 days ago
Orlando, Florida, United States Orlando Health Full timePosition Overview:Key Responsibilities:Accountable for overseeing clinical operations within designated practice environments to guarantee the provision of safe, high-quality patient care, enhanced patient satisfaction, timely access to services, and optimal patient flow. Facilitates the delivery and management of patient care while ensuring adherence to...
-
Clinical Operations Specialist
2 months ago
Orlando, United States EmpiRx Health Full timeJob DescriptionJob DescriptionWho We Are:EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. What We Do:We place more emphasis...
-
Clinical Pharmacy Operations Specialist
6 days ago
Orlando, Florida, United States EmpiRx Health Full timeAbout Us:EmpiRx Health stands at the forefront of pharmacy benefits management, dedicated to a clinically-driven approach. As innovators in value-based pharmacy care, we prioritize our customers and their members, empowering them to manage their pharmacy benefits, healthcare outcomes, and financial results effectively.Our Mission:We emphasize member care...
-
Director of Clinical Research Operations
2 days ago
Orlando, Florida, United States X4 Life Sciences Full timeX4 Life Sciences is seeking a highly skilled and experienced Clinical Site Director to lead our clinical research site in Orlando. As a key member of our team, you will be responsible for overseeing the day-to-day operations of the site, ensuring seamless trial coordination, and prioritizing patient and staff safety.Key Responsibilities:Site Management: Work...
-
Center Clinical Manager
3 months ago
Orlando, United States ChenMed Full timeWe’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...
-
Center Clinical Manager
3 months ago
Orlando, United States ChenMed Full timeWe’re unique. You should be, too.We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?We’re different than most primary care providers. We’re rapidly expanding and we need great...
