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SalaryCompany Overview
Over the next ten years, there will be at least 4.6 million hospitalizations from the misuse of prescription drugs in people 65 or older, resulting in $528 billion in annual avoidable costs. RxAnte is on a mission to improve people’s health by helping them get more from medicines. A rapidly growing, tech-enabled healthcare services company with over 30 million lives under management, RxAnte has become a leading provider of value-based pharmacy care management solutions for health plans.
RxAnte launched Mosaic Pharmacy Service in 2019, a wholly owned subsidiary designed to offer pharmacy and chronic care management services for our clients’ most medically complex and vulnerable members. Using data, advanced analytics, specialized software and pharmacy automation, Mosaic is transforming the pharmacy experience for medically complex seniors while also helping payers achieve their quality improvement and cost savings objectives.
Job Profile
The Program Operations Manager will coordinate activities for all aspects of Program Operations including program implementation and ongoing maintenance, data issue escalation and resolution, and operational reporting and analytics. This individual contributor role reports to the Director of Adherence Program Operations and will work closely with other functional areas within the organization. The ideal candidate will be analytically curious, data-savvy, detail-oriented, self-directed, and collaborative. This is a remote position with some travel to our offices in Sterling, Virginia, and to client locations required.
Specific responsibilities include:
- Create program implementation project plans for new or expanded programs, coordinate efforts across functional areas, and monitor progress on key milestones.
- Provide day-to-day project management of program operational tasks including business rule development and implementation, program capacity management, operational issue escalation and resolution, and production of operational deliverables.
- Assess program operational performance and provide recommendations to improve outcomes.
- Collaborate regularly with data services, serving as the bridge between clients and data operations.
- Facilitate weekly client operational meetings to support ongoing Program Operations and maintenance.
- Monitor exchange of operational data and reports, triaging issues with client data processing schedule and coordinating timely issue resolution with data services as needed.
- Document and monitor operational program deliverables for each assigned client engagement.
- Enter and track tickets within company’s project management system related to client programs and operational deliverables.
- Conduct annual operational readiness assessments with assigned clients.
- Identify opportunities to improve cross-client operational processes.
- Assist in creating policies and procedures that optimize and improve operational processes to enhance efficiency and increase productivity.
Required Skills/Abilities
- Healthcare experience and domain expertise, especially with health plans, Medicare Advantage, Medicaid, and quality or performance measurement.
- Ability to interpret data and provide data-driven recommendations.
- Intermediate skills in Excel including basic functions, data analysis, and pivot tables.
- Propensity toward curiosity, analysis, problem solving, and/or strategic insight; and a bias toward action, idea execution, and/or answer-seeking.
- Comfort in and adaptability with a fast-paced, dynamic environment while maintaining focus on key goals.
- Ability to operate independently in an environment with competing priorities.
- Strong attention to detail.
- Excellent written and verbal communication skills with the ability to engage, build credibility, and create trust across all levels of an organization.
- Willingness and ability to work collaboratively across functional teams and with team members at various levels.
- Periodic travel to RxAnte offices and client sites is required.
Education/Experience
- Bachelor's degree in a related field
- 5-7 years of experience in a similar program support role
