5+ years in nursing or managed care, focusing on case or medical management
Experience in medical management or billing at a health plan or TPA
Strong interpersonal and communication skills
Detail-oriented with the ability to manage multiple priorities independently
Excellent critical thinking and analytical skills
Proficient in Microsoft Excel; SQL experience is a plus
Responsibilities
Deliver telephonic support to patients, caregivers, and healthcare professionals regarding specialty drug management
Lead high-touch case management to achieve quality results for programs
Maintain high-quality customer service while meeting program goals
Develop relationships with members, prescribers, pharmacies, and vendors
Facilitate service development across various healthcare sectors
Perform other assigned duties as needed
Benefits
Comprehensive Health, Dental, and Vision insurance
20 days of paid time off
4 weeks of paid parental leave
9 paid holidays
401K company match up to 5% with no vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance and Professional Membership support
Referral Bonus Program up to $750
Full Job Description
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
0.00
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm
Overview
Archimedes is seeking an Assistant Manager, Clinical Operations to join our team! This can be a fully remote role.
Archimedes is hiring a full-time nurse to work with our employer, health system and health plan clients to manage the specialty drug benefit. Archimedes is a specialty drug management company with industry-leading technology and services that health plans and employer groups can use to manage specialty drug spend. We are expanding our team and looking for a clinical professional who has drug management experience and a passion for managed care. Given our continued growth trajectory, we are looking for a person who can grow with the company.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
Deliver telephonic support to identified patients, caregivers, healthcare professionals and their staff with primary care or specialist facilities related to specialty drug management.
Lead the high touch case management in producing quantifiable, quality results for Archimedes' programs.
Maintain excellent quality and superior customer service while adhering to goals of program.
Develop and strengthen relationships with members, prescribers, pharmacies and other vendors.
Facilitate the development and provision of services across multiple healthcare sectors.
Other duties as assigned.
Qualifications
What our team expects from you?
RN Preferred
5+ years of work experience in nursing, managed care supporting case management, medical management and/or utilization management.
Experience in medical management/billing at a health plan or TPA
Excellent interpersonal skills and articulate on the phone
Efficient, yet attentive to detail with the ability to manage multiple priorities with minimal supervision.
Excellent critical thinking skills with ability to quickly spot issues
Quantitative and analytical, yet engaging and personable
Independent, proactive, forward-thinking, creative problem solver, results-oriented with strong verbal/written communication skills, self-starter
Working knowledge of Microsoft Excel and SQL experience is a plus
Ability and willingness to be in office up to 5 days a week (standard 3).
Participate in, adhere to, and support compliance program objectives.
The ability to consistently interact cooperatively and respectfully with other employees.
What can you expect from Archimedes?
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
