Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Service Delivery Manager
Location
Florida + 3 moreAll locations: Florida, Michigan, Missouri, Texas
Posted
26 days ago
Salary
$23 - $39 / hour
Associate Degree5 yrs expEnglish
Job Description
• Serve as the primary point of contact and liaison between account management and specialty pharmacy operations
• Responsible for facilitating the resolution of specialty pharmacy escalated issues from the account management team's payer clients
• Investigate and provide resolution to payer concerns regarding specialty dispenses to members
• Analyze and monitor payer complaints to identify trends; develop and implement action plans to maintain high levels of quality service
• Collaborate with account management and specialty pharmacy operations departments to investigate and resolve all issues
• Expedite urgent orders and follow through to dispense
• Document and provide status updates on outstanding issues
• Monitor high risk members and prescriptions to mitigate risk
• Work with internal teams to enhance processes based on expertise and client insight
• Mentor, develop and train newly hired team members as assigned
• Performs other duties as assigned
• Complies with all policies and standards
Job Requirements
- Associate’s degree in related field or equivalent experience
- 5+ years’ experience in pharmacy operations (intake and insurance verification, call center)
- Knowledge of pharmacy operational processes (intake and insurance verification, call center, pharmacy dispensing)
- Experienced ScriptMed user
Benefits
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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