Immediate need for a talented
Patient Support Vendor & Program Operations Manager. This is a
06+ Months Contract opportunity with long-term potential and is located in
Boston, MA (Hybrid). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-26960
Pay Range: $80 - $100/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:- Specialty Pharmacy Operations
- Lead weekly stand-up calls with in-network Specialty Pharmacy Program Teams and identify trends and insights to report back to Patient Support Team
- Oversee day-to-day activities interactions with our specialty pharmacies including providing technical expertise for pharmacy questions and escalations & managing our pharmacy outreach process
- Manage CRM SP profiles & internal reference guides, and trainings/roll out related to launch, new initiatives and pharmacy operations
- Partner with PSSs for 340B support for 340B pharmacies/centers reporting data
- Prepare for Quarterly Business Reviews (QBRs) and status meetings with in-network pharmacies, provide feedback on pharmacy service levels, and provide insights into pharmacy trends and issues that affect our team and patients
- Monitor data quality, create and maintain dashboard, & provide ad hoc reporting, including seasonal coordination support
- Identify and drive process improvements & innovative solutions/analytics to make the patient experience better, and our team more efficient
- Oversee and support patient transitions to new pharmacies due to insurance/PBM changes
- Partner with internal Managed Markets Specialty Pharmacy Engagement Team to ensure alignment on trends, insights and SP initiatives to support patients, HCPs and PSSs.
- Pharmacy Escalation Management
- Oversee and manage daily/weekly escalations, and ensure timely resolution
- Collaborate with Access and Reimbursement team to address outstanding issues.
- Identify and implement system improvements to reduce redundant escalations.
- Monitor financial assistance issues and work with network pharmacies to resolve barriers to patient access.
- Monitor Patient Support Team (PST) Specialty Pharmacy escalations related to PSS/Patient/Caregiver/HCP challenges, identify and communicate trends and work closely with the team to find the root cause and create plans of action for resolution Analytics and Reporting
- Develop new and maintain existing data reporting for insight generation
- Work with Systems team on continuous improvement for internal and external reporting and trend monitoring
- Proactively monitor data quality, maintain dashboards and provide daily, weekly, quarterly and seasonal and ad hoc reporting to the Specialty Pharmacies
- Co-lead a “Rep” team of Patient Support Specialists to develop processes, share best practices and train teammates.
- Actively contributes to routine team meetings, business reviews and workshops.
- Proactively identifies challenges and offers up process improvements and solutions.
- Act in compliance with all laws, regulations and Client policies.
- Complete all Client-U requirements on time
- Other responsibilities as assigned
Key Requirements and Technology Experience:- Must have skills: Patient Support Operations
- Vendor Management
- pharmaceutical access
- Reimbursement
- Payer structures (Commercial, Medicare, Medicaid, etc.)
- Salesforce CRM and reporting tools
- Healthcare/pharmaceutical industry
- Bachelor’s Degree and 3+ years of experience in the healthcare/pharmaceutical industry.
- Strong understanding of payer structures (Commercial, Medicare, Medicaid, etc.) and their impact on patient support.
- Experience in pharmaceutical access, reimbursement, commercial systems, and analytics.
- Intellectually curious with a continuous improvement mindset and high customer service aptitude.
- Ability to work in a fast-paced environment, multitask, and prioritize workload.
- Strong attention to detail, communication, presentation, and interpersonal skills.
- Proficiency in Salesforce CRM and reporting tools.
Our client is a leading
Pharmaceutical Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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