Copay Manager - Support Program / Claims Processing

The  Copay Support Program Manager  is a critical role within the organization and is primarily responsible for the creation, design, set-up and administration of Pharmacy and Medical Copay programs for AssistRx manufacturer clients. Required engagement with client, account managers, program managers, finance team members and other departments within the organization to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and provide ongoing Copay program metrics for internal and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances as well as replenishment needs. This position will identify and report Copay trends, patterns and behaviors as well as make recommendations to increase utilization based on Copay claims and patient compliance / adherence activities. Also, this position will implement data-driven initiatives to achieve operational and process excellence that will optimize and increase the number of Copay Programs supported and managed by AssistRx.

Key Responsibilities :

Program Strategy & Execution

• Serve as the primary client contact for the development, implementation, and ongoing management of pharmaceutical copay programs.
• Lead the design and administration of program business rules and ensure successful integration with adjudication systems.
• Oversee daily operations of assigned copay programs, ensuring service level excellence and compliance with contractual obligations.

Stakeholder Collaboration

Operational Excellence

Data Analysis & Financial Oversight

Client Engagement & Communication

Requirements

Preferred Experience :

Benefits

AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws.

All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and / or work authorization is not available for this position.

AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire.