ConnectiveRx

Manager

• Sets strategic direction for the team and is therefore accountable for overall performance and attainment of company and/or client service levels.
• Includes converting department MBOs into team and individual performance goals.
• Communicates results internally to senior and executive-level management.
• Respond to service-level issues by determining the root cause of issues and developing action plans to remediate them.
• Escalates internally and with clients as appropriate.
• Ensures teams are compliant with all applicable compliance and regulatory requirements.
• Serves as a cultivator of talent who conducts performance reviews and one-on-one coaching sessions with Supervisors.
• Creates individual development plans for supervisors and oversees and aligns associate development plans.
• Maintains focus on succession planning and bench strength for all levels within the team.
• Provides input into budget creation and is accountable for attaining budget goals throughout the year.
• Utilizes various call performance data to identify opportunities to improve patient/HCP experience. This includes partnering with Workforce Management and approving staffing models, driving operational efficiencies, improving productivity, and reducing administrative costs.
• Works closely with Program Management partners to ensure flawless program execution.
• Participates in weekly or bi-weekly client meetings (recurring or ad hoc) to review team performance, discuss program updates, and/or collaborate on improving the program offering.
• Participates in Quarterly Business Review meetings with clients, including developing meeting content and presenting materials.
• Partners with IT to escalate and correct system deficiencies, identify and make recommendations for system enhancements, and contribute to and test the implementation of new products or system functionality.
• Accountable to ensure team members follow company and/or client policies and procedures.
• Prepares CAPA documentation for internal issues and provides SOC-2 auditing materials as required.

Manager, Patient Support – Afford Svcs

QA Engineer

• Perform data analysis on data collected by Quality Associates to identify trends, insights, and areas of opportunity within programs and agent performance
• Create slide decks and present these documents to internal and external stakeholders alongside Operations Quality Assurance leadership
• Use the data to recommend process improvement opportunities and lead teams toward action-oriented results
• Lead meetings with Operations leadership and clients to discuss program quality scores and areas of opportunity
• Communicate identified trends and quality risks, serve as a resource regarding quality concerns, and continue monitoring for improvement opportunities
• Provide feedback to Operations Leadership and Operations Agents during coaching sessions, utilizing structured coaching methods

Operations QA Analyst

• Takes the lead to manage the Care Coordination process within an assigned territory.
• Uses tact and independent judgment to balance patient and physician needs with the business realities and necessities of the program.
• Establishes and maintains professional and effective relationships with all internal and external customers (i.e., care coordination colleagues, care field team, patient advocacy groups, insurance company case managers, specialty pharmacies, physician office staff and office coordinators) while multitasking to coordinate, evaluate and advocate for options and services to meet the client’s needs.
• Assesses physicians’ needs and develops action plans that proactively mitigate delays in therapy.
• Coordinates the exchange of all patient-related information with internal and external customers (i.e., patients, families, healthcare providers, insurance companies, and specialty pharmacies).
• Effectively manages database including data on each individual, their insurance, coverage approvals, on-going coverage requirements and all patient and provider interactions.
• Keeps up to date with reimbursement process, billing/coding nuances, insurance plans, payer trends, financial assistance programs, charitable access, related resources, regional level and alternative resources.
• Assists in obtaining insurance approvals/denials and/or appeals for therapy.
• Assists patients and HCP with processing applications for Copay Assistance/Reimbursement and Patient Assistance Programs.
• Assists with ordering/triaging prescriptions for patient or HCP.
• Provides education to patients and health care providers, regarding insurance requirements, options and limitations necessary to initiate therapy.
• Provides education on relevant disease/product information.
• Exhibits a leadership role by demonstrating accountability for action plan execution, and energetically drives for success and results.
• Supports special projects as requested. (i.e., patients, families, healthcare providers, insurance companies, and specialty pharmacies).
• Identifies and recommends process improvements to support operational efficiencies.
• Effectively shares knowledge with other team members through orientation training, case studies, consultation for complex cases.

Case Manager

Director

• Leads a group of Managers and Supervisors, who lead a team of Benefit Investigations Specialists or Case Managers
• Responsible for planning and executing client programs and managing client deliverables
• Oversees and develops Managers, Patient Access - HUB who have various levels of experience in program/project management in the healthcare industry
• Mentors Patient Support Managers and provides strategic input to management issues
• Ensures SOP’s and KPI’s are followed and measured through Client and Benefit Investigation Specialist Scorecards

Director, Patient Support – Hub Services

Business Development Rep

• Identify, build, and maintain strong relationships with customers and prospects to drive revenue and meet monthly, quarterly, and annual targets
• Lead prospecting, upselling, and follow-up activities for targeted leads
• Lead selling efforts on both an operational and strategic basis
• Manage expenses to remain at or below budget and optimize travel by maximizing the number of accounts and prospects visited per trip
• Develop formal business plans for ConnectiveRx Business Programs with a focus on targeted sales activities by market segment, customer, and partner
• Ensure strong, ongoing integrated promotion of selected products and services
• Meet or exceed qualitative and quantitative sales and revenue goals through new prospect development, lead qualification, and closing sales
• Develop key metrics and analytics related to the sales pipeline and evaluate the effectiveness of sales strategies and activities
• Oversee CRM data collection and ensure systems are accurate and up to date
• Perform other duties as assigned

Director, Business Development

• Lead the evolution of measuring, reporting, and sharing meaningful insights.
• Act as an analytics subject matter expert in client meetings.
• Develop the data innovation strategy and drive company-wide data initiatives.
• Collaborate with internal teams and third-party analysis vendors to strengthen program performance.
• Design, develop, and maintain data models, dashboards, and automation projects.
• Provide leadership and training to ensure strong team performance.
• Translate business problems into analytic questions and present complex analyses clearly.

Director, Advanced Analytics

Operations

• Maintain operational revenue forecast for A&A
• Compile data from various sources
• Analyze and record monthly program activity
• Meet regularly with Program Management and Business Development
• Partner with Manager and Finance on month-end activities
• Partner closely with Sales Operations for sales pipeline reporting
• Improve processes in forecasting
• Build relationships for effective communication and reporting

Operations Analyst, Program Performance

Proposal Manager

• Generates, tracks, and communicates estimation activities to internal teams for new and existing customer requests
• Handles, routes, and/or responds to follow-up queries about proposed estimates
• Collaborates with CRx’s pricing team to ensure all details to produce an approved estimation have been received
• Calendar management for meetings in support of the estimation process
• Maintains documents and files appropriately supporting the proposed estimates
• Reports development required by CRx Management Team

Proposal Coordinator

• Responsible for managing 45–60 staff members across one or more teams
• Oversees a team responsible for the delivery of patient support healthcare services
• Facilitates access to prescription medications, including benefit verifications, non-clinical case management, prior authorization and appeal support, and specialty pharmacy triage
• Manages medium to small-scale programs with budgets under $10M
• Partners with internal stakeholders to implement updates
• Leads talent identification and onboarding efforts
• Tracks team credentialing
• Plans and leads Faux Hub operations under Director oversight

Manager, Patient Support – Hub Services

Program Manager

• Manages highly responsive day-to-day direct client contact by responding to client requests or initiating contacts
• Develops effective client-facing communications that include marketing and sales representations and account status updates
• Completes Requests for Proposals and Statements of Work with guidance from Business Development executive
• Gathers information for wide range of internal resources, ensuring completion and review by appropriate approvers/decisionmakers
• Provides input into annual renewal process
• Coordinates program setup with various internal teams and clients
• Monitors and reports on program performance
• Develops and shares account activity/status updates, reporting, and invoicing
• Analyzes output and summarizes actionable steps for clients or ConnectiveRx

Procurement

• Leads projects to develop strategies, analytics, tools, and processes that enable the organization to grow operating margins by driving improvement to pricing and revenue management practices.
• Develops and implements a standard pricing system.
• Establishes and implements a framework for measuring pricing execution, including pricing waterfalls, quarterly pricing metrics and market analysis.
• Directs and reviews quantitative and statistical studies that evaluate critical areas for improvement, including price setting, price governance and compliance.
• Communicates recommendations and value created from implementation of strategies to EMT.
• Builds strategic working relationships with key team members in Sales, Finance, Product, Technology, and Operations.

SVP, Strategic Pricing and Procurement

• Responsible for leading a team of Program Managers, including providing strategic direction, assisting in the design and implementation of client projects, and identifying and removing roadblocks to meeting client deliverables.
• Oversee the execution and coordination of client deliverables.
• Collaborate with business stakeholders and cross-functional teams to strategically plan and execute on client objectives.
• Management responsibilities including interviewing, hiring, resource planning, training, mentoring/coaching, professional development, developing goals, and annual performance reviews.
• Develop and expand client relationships with new and existing clients, ensuring all major deliverables are met.
• Facilitate client solutions for complex programs, including the development of client strategy and execution plan.
• Support Program Managers with client escalations which may include clearing internal roadblocks for completion of client-requested enhancements.
• Ensure quality standards and client expectations are met.