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 point of contact and intermediary between account management and specialty pharmacy operations.

• Assist in resolving specialty pharmacy escalated 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 emerging trends.

• Create and execute action plans to ensure high standards of quality service.

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

• Expedite urgent orders and ensure follow-through to dispense.

• Document and provide updates on unresolved issues.

• Monitor high-risk members and prescriptions to minimize risk.

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

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

• Carry out additional duties as assigned.

• Adhere to all policies and standards.


⛳️ Requirements

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

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

• Comprehensive knowledge of pharmacy operational processes, including intake, insurance verification, call center dynamics, and pharmacy dispensing.

• Proficient user of ScriptMed.

• Experience in referral processing and pharmacy is strongly preferred.


🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plans.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

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

• Additional incentive options may be included in the overall compensation package.

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