Education/Certification/Experience:
- Bachelor’s degree required
- A minimum of five years in the pharmaceutical industry (e.g. operations management, analytics, or a related role) required
- A minimum of two years in patient services or hub operations
- Experience presenting operational performance metrics to senior leadership combining outputs from visual analytics platforms and Microsoft PowerPoint required
Skills/Knowledge/Abilities:
- Technical skill in visual analytics platforms such as Tableau, Qlik or PowerBI required.
- Analytical problem solver, uses data to make inferences and build compelling stories.
- Firm process knowledge of Patient Journey from enrollment, to benefit verification through final approval including prior authorization management, and into appropriate pharmacy fill & refill requirements.
- Knowledgeable with Pharmacy and Medical Benefit administration and vertical business relationships among Insurers, PBMs, and Specialty Pharmacies including Medicaid and Medicare.
- Ability to work with senior leadership to define, establish, and manage key performance indicators within external vendor environments/CRMs (Salesforce Health Cloud preferred) and telephony systems (such as Five9).
- Ability to establish trusting working relationships with internal and external partners.
- Excellent communication and presentation skills.
- Demonstrates continuous improvement mindset.
- Ability to work independently as well as in teams and be very flexible to prioritize, then reprioritize due to competing needs.
Travel Requirements: Approximately 30% travel throughout the US, which may include weekend and overnight trips