Program Manager - Remote

Change Healthcare•Las Vegas, NV

9d•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Optum Frontier Therapies is a new pharmacy services business pioneering a better approach to care for patients with rare diseases; we are on a mission to support people with compassion while creating access to therapies at the frontier of health care. With us, you'll find a fast-paced, passionate and professional culture where you can use your talent and our resources to make a huge impact-ensuring that all people, no matter how unique, have the ability to access a better tomorrow. What makes your career greater with Optum Frontier Therapies? You'll work with expert and enthusiastic peers, be part of a culture focused on both clinical outcomes and business results, and contribute to a growing team that prides itself on learning, evolving and challenging the status quo. The Program Manager at Optum Frontier Therapies is the lead for a rare disease therapy program, focused on supporting people with rare diseases and emerging therapies at the frontier of healthcare. Key stakeholders that the Program Manager must consider are the patients we serve, doctors and their office staff who prescribe these therapies, biopharma manufacturers who develop these therapies, and our internal operations team, executing the work every day. The Program Manager is directly responsible for the operational health, efficiency, and management of one or more assigned programs while serving as a dedicated point of contact for assigned clients. This is a role that must be able to think both "wide" and "deep", and balance internal team management with external customer orientation. Program Managers provide guidance, leadership, and supervision for the programs assigned to them and are responsible for ensuring that the goals and objectives of the programs are met in a manner that aligns both internal business expectations and external client commitments. Under direct supervision from the Associate Director of Program Managment, the Program Manager supports the overall development, implementation, and management of assigned client programs. This role partners closely with leaders and stakeholders across the business to ensure that client portfolios are operating effectively, to raise recommendations for program improvements, communicate trends on the program, and advance the business partnership with a client. This position relies heavily on the ability to anticipate and proactively recommend solutions, accurately follow directions, thoroughly research, communicate and resolve program-related needs, escalations, and concerns according to established standards and timeframes. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Requirements

3+ years of experience on Pharmacy, medical, healthcare service operations, or similar role
Demonstrated experience managing cross-functional programs and client relationships
Proven solid problem solving, analytical, and critical thinking skills with an ability to work consultatively with partners
Solid proficiency in Microsoft products, such as Excel and PowerPoint, and an ability to easily learn and adopt new technology tools
Proven ability to set priorities and manage a team to meet key objectives of the business

Nice To Haves

Specialty Pharmacy experience
Pharmacy Accreditation experience
History of working as a program manager whereas pharma was a client
History of working in a highly matrixed, call center or operations type environment
Demonstrated experience leading and developing a team in a supervisory/managerial capacity

Responsibilities

Maintains expert knowledge of program requirements, guidelines, processes, FAQs, business rules, technologies, and therapeutic areas related to assigned programs
Keeps current with industry and treatment trends, treatment standards, and updated indications related to assigned programs
Works directly with the Client Implementation, Operations, Business Solutions, Program Management, Payer Relations and Clinical teams to ensure the timely and complete launch of new programs or updated processes
Monitors, and maintains operational health metrics and analytics for assigned programs, identifying trends and facilitating mitigation and resolution plans with appropriate stakeholders
Participate in, prepare for, and lead regularly scheduled program-related meetings, internally and externally, across all levels of leadership
Knowledge of business technology platforms
Enforces standard operating procedures regarding the integrity of technology and telecommunications systems to ensure that the services performed meet or exceed client expectations
Assists with the development of quality assurance guidelines and assesses the effectiveness of program quality management measures
Engage with leadership and quality team to identify trends and drive a culture of quality performance and accountability
Assists senior management with the fiscal stewardship of a program by monitoring direct costs and tracking revenue when applicable
Accurately acknowledges, replies to, and documents all program-related communications in an appropriate and professional manner within specified timeframes
Resolves client issues or concerns through expert troubleshooting and escalates potential problems to management promptly to provide a timely resolution to the client
Support the recruitment, hiring, and onboarding processes of roles across assigned programs and the business
Work directly with leadership on recommended staffing needs using time studies and workforce management tools
Development of program-specific business rules, process workflows, policies, procedures, work instructions, etc. and accountable to ensure they are being followed and kept up to date
Accountable for effective communication and training plans, and for coordinating with partners such as operational and training team members to deliver program updates and/or trainings
Provide requirements to product and technology partners to support system enhancements or new processes to drive performance and quality
Maintain close relationship with peer-supervisors to ensure the program is staffed appropriately including, holiday and vacation gaps are covered and client needs are always exceeded
Navigate a highly matrixed organization using strong relationship building skills and clear written and verbal communications
Maintains stringent company, employee, and client confidentiality as well as compliance with all HIPAA regulations
Occasional travel to client and management meetings or trainings, as needed