Shared Services Project Manager

Summary

Join House Rx as a Shared Services Project Manager and play a pivotal role in enhancing access and affordability of specialty medications for patients. Collaborate with specialty care clinics and the team to optimize the specialty pharmacy experience, focusing on implementation at new customer sites. Lead customer-facing calls, manage implementation projects, and coordinate with sales and program managers. Ensure clinic partners maintain adequate inventory, streamline processes, and manage patient prescription attainment issues. Troubleshoot claim processing, payment processing, and equipment issues. Act as a liaison between patients, providers, and the operational team. Primary responsibility will be in at least one of several areas (PBM audits, claims reconciliation, credentialing, legal model, accreditation, project management, drug ordering, supply management, implementation IT workstream) with cross-training in at least one additional area. The ideal candidate is a creative problem-solver with mastered core pharmacy technician skills, experience in specialty medication benefits, and comfortable engaging with patients and providers.

Requirements

• You are someone who loves to dig in and can think outside the box
• You are a creative problem solver interested in positively impacting each patient’s pharmacy experience
• Self-motivated with sense of urgency for quality resolution
• You have mastered all the core pharmacy technician skills, such as processing claims and dispensing medications, and are ready to expand your career
• You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone
• You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance
• You are excited about working in a start-up environment and enjoy solving complex problems
• You are someone who looks for proactive solutions and can identify more efficient workflows

Responsibilities

• Primary leader of customer facing calls, accountable for the completion of implementation steps
• Implementation project management through customer calls, timely follow up, and use of project management tools
• Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers
• Coordination with leadership to drive implementation process efficiencies for credentialing, IT workstream, and other implementation related activities
• Support for initiatives and related project work
• Ensure our clinic partners maintain adequate inventory & supplies to meet the needs of their patients
• Work with clinic teams to streamline processes and workflows in coordination with clinical operations team
• Manage any issues with patient prescription attainment, including tracking packages, troubleshooting carrier issues, and monitoring work queues as assigned
• Troubleshoot issues with claim processing, payment processing, equipment function (barcode scanners, label printers) and escalate to internal resources as appropriate
• Triage support issues related to our PMS Platform for new and existing clinic partners
• Act as a liaison between the patient, provider and our operational team to effectively and efficiently resolve issues. Problems happen, you are responsible for delighting as you solve them
• PBM audits - support our clinic partners to reduce risk of payor take backs by completing payor desktop audits
• Claims reconciliation - support our clinic partners and invoicing process through timely reconciliation of claims, identify and address missing remits and payments, and provide weekly insight to program managers
• Credentialing - work closely with clinic partners at new and established practices to complete initial credentialing with PBMs, credentialing renewals, state regulatory agency registration (where required), and manage enrollment in EFT and ERA
• Legal model - work closely with sales, program managers, and clinic partners to provide an accurate summary of state specific legal requirements for MID dispensing space, provider verification registration and requirements, practice dispensing registration and requirements, and pharmacy dispensing space requirements
• Accreditation - work closely with clinic partners to support initial and renewal accreditation with ACHC, URAC, and others. Support required program monitoring and auditing to maintain compliance with accreditation
• Project management - implementation project management through leading customer calls, timely follow up, use of project management tools. Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers
• Drug ordering - support clinic partners through submission of wholesaler orders, monitor delivery, troubleshoot shortages and wholesaler catalog errors. Work closely with clinics to manage accurate inventory through training, monitoring and ongoing process improvements. Work closely with distribution leaders to manage customer-specific wholesaler account matrix to optimize customer spend
• Supply management - ensure clinic partners maintain adequate inventory, optimizing supply chain efficiency while reducing costs
• Implementation IT workstream - work closely with implementation project manager to facilitate clinic partner IT workstream initiation, testing of EHR functionality (login, task groups, reporting, test eRx), and other IT related tasks (phone extension set up, VPN access, etc.)

Benefits

• Paid time off
• Generous parental leave
• Comprehensive healthcare, vision and dental benefits
• Competitive salary and equity stake