Remotery

Service Delivery Manager

atCentene CorporationRemoteUS flagMissouriFull-timeManagerMid-levelSenior$23 – $39/hour

Posted 1 day ago

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Act as the main contact and intermediary between account management and specialty pharmacy operations.

• Assist in resolving escalated specialty pharmacy issues from the account management team's payer clients.

• Investigate and address payer concerns related to specialty dispenses for members.

• Analyze and track payer complaints to identify patterns.

• Develop and execute action plans to uphold high standards of quality service.

• Collaborate with the account management and specialty pharmacy operations teams to address and resolve issues.

• Expedite urgent orders and ensure completion of dispensing.

• Document and provide updates on unresolved issues.

• Monitor high-risk members and prescriptions to mitigate potential risks.

• Work alongside internal teams to improve processes based on expertise and client feedback.

• Mentor, develop, and train newly hired team members as needed.

• Perform additional duties as required.


⛳️ Requirements

• Associate’s degree in a related field or equivalent experience.

• Over 5 years of experience in pharmacy operations, including intake, insurance verification, and call center duties.

• Familiarity with pharmacy operational processes such as intake, insurance verification, call center operations, and pharmacy dispensing.

• Proficient user of ScriptMed.

• Experience in referral processing and pharmacy is strongly preferred.

• Ability to adhere to all policies and standards.


🏝️ Benefits

• Competitive pay.

• Health insurance.

• 401K plans.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional forms of incentives may be included in total compensation.

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