Director of Clinical Support
2 months ago
EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.
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.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Director of Clinical Support in Orlando, Florida. In this critical role, you will be instrumental in leading the management team of Cost Containment & Clinical Operations Specialists to successfully oversee their respective teams.
What You'll Do:
As the Director of Clinical Support, your role will encompass a wide range of responsibilities:
- Serve as the VP of Clinical Concierge Services point person to ensure the Cost Containment & the Clinical Operations team is delivering on assigned responsibilities.
- Provide direct supervision and mentorship to a team of clinical staff, including managers and specialists.
- Lead overall team development towards white-glove service excellence by making sure the team is handling caseload in a timely manner.
- Foster effective communication and collaboration between other leadership teams within the Care Management department.
- Support the recruiting efforts of the team by participating in the interview process.
- Ensure daily processes/protocols are being monitored by management.
- Ensure workload is allocated properly by management.
- Develop and implement quality assurance programs to ensure teams re following clinical standards and compliance with our organization guidelines.
- Develop strategies to improve training for new hires and upskilling for managing team.
- Monitor and ensure workload capacity and performance is meeting organizational KPI's for teams.
- Monitor operations of clinical support services, ensuring adherence to quality standard, policies, and protocols.
- Optimize resource utilization and evaluate performance metrics to enhance efficiency with the teams.
- Continuous development of process improvement to increase effectiveness and productivity.
- Utilize EmpiRx Health internal tools for team's oversight and monitoring (e.g., RxCurve360, DOMO, Salesforce, EmpiRx Health adjudication & prior authorization platform).
- Become a subject matter expert on EmpiRx Health adjudication and prior authorization platform.
- Closely collaborate with other leadership within the Concierge Services department and Call Center operations team to ensure member satisfaction or concerns are met.
- Closely and collaboratively work within Care Management leadership and other EmpiRx Health departments to deliver best in class services to our members and clients.
- Effectively support managing team as needed (coverage, etc.)
- Bachelor’s Degree in Pharmacy or PharmD (required)
- Availability to work 5 days onsite
- 5+ years of people management experience (remote management preferred)
- 3+ years of claim adjudication and/or prior authorization experience
- 5 years of experience in PBM, health plan, or equivalent
- 2 years of customer service experience
- Ability to work in a fast-paced environment.
- Time management skills with ability to meet tight deadlines.
- Excellent verbal and written communication skills
- Proficient in Microsoft Office Suite, CRM tools
- 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
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
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