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Southern Scripts

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Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

17 open rolesLatest: Jul 14, 2026, 9:42 PM UTC
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Director of Eligibility Operations

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Director10 days ago

Role Description We are looking for a Director of Eligibility Operations to own our eligibility function end to end. This is a senior leadership role responsible for product roadmap, platform integrity, operational performance, and cross-functional coordination across technology, adjudication, implementation, and client teams. You will be joining during an active period of platform development and migration, and will be expected to contribute to operational readiness and stability from day one. What You Will Own - Product and Roadmap - Own the eligibility product roadmap, annual planning, and enhancement prioritization. - Translate client and operational requirements into development-ready specifications. - Own benefit-level configuration oversight and vendor integration strategy. - Identify automation and AI-assisted workflow opportunities within the eligibility function. - Platform and Migration - Own the eligibility function's contribution to platform migration initiatives, including testing sign-off, migration validation, and post-go-live stability. - Track and submit enhancement requests with documented business impact, following through from submission to delivery. - Represent eligibility in platform governance and change control processes. - Operations and Performance - Own error trend reporting, SLA tracking, and root cause analysis for recurring defects. - Serve as the senior escalation authority for eligibility issues beyond the Manager and Analyst layers. - Own Tier 2 support accountability; support Tier 3 resolution in coordination with the technology team. - Keep the team's work visible to leadership through dashboards, reporting, or equivalent tools. - Leadership and Cross-Functional Impact - Provide strategic oversight to the EDI/Eligibility Manager and maintain ultimate accountability for team performance and quality. - Partner with Client Experience, Implementation, Adjudication, and QA teams on eligibility-related escalations and initiatives. - Represent the eligibility function in client conversations and cross-functional leadership discussions. Qualifications - 10 or more years in healthcare eligibility, EDI operations, or PBM/health plan benefit administration. - Expert knowledge of X12 834 and 270/271 transaction sets with hands-on troubleshooting experience. - Working SQL proficiency and familiarity with Snowflake or comparable cloud data platforms. - Demonstrated experience owning or leading an eligibility or EDI function at a senior level. - Experience managing operational continuity through active platform migrations or system transitions. - Proven ability to lead through influence and own a product roadmap. - Strong communicator across technical and non-technical stakeholders, including clients and executives. Requirements - Transparent or pass-through PBM experience. - Familiarity with claims adjudication and eligibility management platforms. - Background in product ownership, business systems analysis, or eligibility program management. - Experience with Jira, Zendesk, Azure DevOps, or similar ticketing and workflow tools. - URAC or NCQA operational compliance experience. Benefits - Medical, Dental Vision insurance. - Disability and Life insurance. - Employee Assistance Program. - Remote work options. - Annual Reviews and Development Plans. - Retirement Plan with company match immediately 100% vested.

United States
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Associate Care Navigator

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Therapist14 days ago

Role Description The Associate Care Navigator will conduct case management on behalf of the client and Southern Scripts ensuring specialty drug spend trend management savings in accordance with client agreement. This position will solution for lowest cost drug while working in a high touch member centric manner, establishing a member relationship as a single point of contact. The Associate Care Navigator will provide targeted, personalized service based on a holistic view of the member, benefits, health information, and engagement. This may include site of service transitions and all other RxCompass component saving methods. This may include both medical and PBM claims. Member engagement would include telephone, written correspondence, fax, or app. Member engagements are typically non-routine and may require deviation from standard screens, scripts, and procedures to engage, consult, and educate members and providers by delivering individualized programs based upon the member’s unique needs and preferences. - Utilizes resources to assist members in understanding components of Southern Scripts products including claims, accumulators, usage, balances, and cost sharing. - Support the success of Southern Scripts and our clients through the development, presentation, and implementation of member-centric solutions that drive down the cost of specialty medications, while maintaining a positive member experience. - Supports department and client requirements in the meeting of turnaround times by working as needed to ensure all referrals are handled with a focus on a timely specialty drug service solution. - Provides support in meeting client expectations regarding efficiency, service levels, privacy maintenance, and quality of decision-making. - Responsible for maintaining compliance with ERISA, HIPAA, and client specific requirements. - Works as part of the team to meet business unit objectives. Expects and accepts work in an environment where change agility is fundamental to success. - Ability to deal with a diverse customer base in a friendly manner, including medical and pharmacy office providers, hospitals, members, home infusion providers and other vendors inclusive of our drug cost saving efforts. - Must display empathy and effective listening skills to deliver successful cost savings transitions of care. - The ability to balance compassion, integrity, discretion, and sound judgement, with a strong desire to achieve and exceed expected metric. - A proven background in medical/pharmacy benefits, particularly as these relate to specialty medications. - Respect work rules and procedures. - Acts as an advocate for change. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Qualifications - High School degree, some college preferred or equivalent experience. - 1-2 years’ experience with member engagement with PBM and Medical background. - 1-2 years’ Specialty Pharmacy or PBM experience. - 1-2 years’ CRM platform experience. - 1-2 years’ experience collaborating with Clinical, Prior Authorization, sales, account management, senior executive, and various external client facing relationships. Requirements - Full-time, hourly/non-exempt position. - Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00AM to 5:00PM CT. - Ability to work extended hours, weekends and holidays pursuant with industry demands, although this would not be typical. - This position could require overnight travel from remote location. Benefits - Medical, Dental, Vision Insurance - Disability and Life insurance - Employee Assistance Program - Remote work options - Generous Paid-Time Off - Annual Reviews and Development Plans - Retirement Plan with company match immediately 100% vested

United States
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Vendor Coordinator

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Role Description The Vendor Coordinator serves as a key liaison between vendors, clients, and internal teams, ensuring seamless collaboration and communication. Working closely with the Vendor Manager, this role supports negotiation processes and maintains effective vendor-client relationships. The Vendor Coordinator’s ability to manage multiple stakeholders, both internally and externally, offers valuable insights into various departmental functions. By ensuring that deliverables align with client service agreements and maintaining high service levels, the Vendor Coordinator plays a pivotal role in achieving project goals and driving client satisfaction. - Adaptability in a Dynamic Environment: Thrives in an evolving landscape, demonstrating agility and flexibility in response to changing demands. - Relationship Building: Cultivates and sustains strong working relationships with both external vendors and internal teams to foster effective collaboration. - Multitasking and Project Management: Simultaneously manages multiple client relationships, projects, and programs, ensuring timely and successful execution. - Status Tracking and Reporting: Monitors, analyzes, and presents updates on client/vendor statuses, issues, and processes, working cross-functionally to align stakeholders and resolve challenges. - Program Support: Partners with internal and external customers to successfully deliver programs, ensuring mutual client and vendor satisfaction. - Outcome Reporting: Tracks, reports, and communicates measurable outcomes for active programs, ensuring all stakeholders are informed of progress and results. - Risk Identification and Mitigation: Proactively identifies and addresses risks or issues related to clients and operations, ensuring smooth program execution. - Project Implementation: Follows established project plans for the implementation and integration of clients opting into new programs, ensuring seamless onboarding. - Accountability Management: Holds both internal and external team members accountable for their roles in program implementation and client onboarding. - Professional Communication: Ensures consistent and professional communication with internal teams, vendors, and clients regarding program updates. - Deadline and Progress Management: Oversees deadlines and progress across all teams involved in program delivery, ensuring timelines are met. - Client Service Support: Collaborates with Client Services to ensure the successful onboarding and integration of clients participating in new programs. - Inquiry Response: Manages inbound inquiries from clients, TPAs, brokers, and internal teams regarding plans, members, and claims related to active programs, providing timely and accurate responses. - Policy Adherence: Ensures compliance with company and program-specific policies and procedures, safeguarding operational integrity. - Client Meeting Participation: Actively participates in key client meetings related to existing and integrated programs or vendor relationships. - Database Maintenance: Manages and maintains a comprehensive client database for program-utilizing clients. - Queue Monitoring: Proactively monitors internal queues, ensuring timely responses aligned with set specifications and goals. - Policy Knowledge: Maintains a working knowledge of company and departmental policies, ensuring consistent application. - Issue Resolution: Provides prompt follow-up and resolution on all issues or inquiries, escalating significant concerns to the Vendor Manager as needed. - Problem-solving: Leverages strong problem-solving skills to address daily operational challenges and client/vendor inquiries. - Primary Point of Contact: Acts as the main day-to-day contact for managing vendor and client relationships. - Other Key Responsibilities: Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. Qualifications - Proven leadership and interpersonal skills. - Ability to absorb and retain information quickly. - Highly self-motivated and directed. - Strong attention to detail. - Excellent analytical, critical thinking, and decision-making abilities. - Experience working in a team-oriented, collaborative environment. - Exceptional written and oral communication skills. - Exceptional interpersonal skills, with a focus on rapport-building, listening, and questioning skills. - Strong documentation skills. - Ability to understand current/changing business processes. Requirements - Demonstrated knowledge of standard software applications, including MS Office and Windows. - Bachelor’s degree (Business) or higher. Preferred Education and Experience - Account Management experience a plus. - PBM experience a plus. - Manufacturer Assistance Program experience a plus. Benefits - Medical, dental, Vision Insurance. - Disability and Life Insurance. - Employee Assistance Program. - Remote Work Options. - Generous Paid-Time Off. - Annual Reviews and Developmental Plans. - Retirement Plan with Company Match, immediately 100% Vested. Position Type and Expected Hours of Work Full-time, salary/exempt position. Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00 AM to 5:00 PM CT. We cover clients from the West to East Coast, work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays pursuant to industry demands. Travel This position requires minimal (5%) travel from the Natchitoches area. Supervisory Responsibility There are no supervisory responsibilities for this role.

United States
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Supervisor, RxCompass Operations

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Operations23 days ago

Role Description The RxCompass Operations Supervisor reports to the Manager of RxCompass / Variable Copay Operations and is responsible for overseeing frontline Care Coordinators and Care Navigators supporting RxCompass program workflows. This role ensures daily operational execution, queue performance, service level adherence, and high-quality member support. The Supervisor actively monitors operational queues, manages performance metrics, coaches team members, and ensures the timely resolution of member cases. - Frontline Operations Oversight - Monitor and manage daily RxCompass operational queues to ensure timely processing and service level adherence. - Ensure coordinators actively work assigned queues and meet turnaround expectations. - Review queue aging, backlog, and case status to maintain operational flow and prevent service delays. - Rebalance workloads as needed to ensure equitable distribution of work across team members. - Performance Management - Monitor team KPIs, including productivity, queue throughput, quality scores, adherence, and service levels. - Conduct regular performance check-ins with team members to reinforce expectations and performance standards. - Identify performance gaps and provide real-time coaching to improve operational outcomes. - Escalate performance concerns to the Manager when corrective action may be required. - Queue & Workflow Management - Ensure team members follow established workflows and SOPs for RxCompass program processes. - Track and address aging cases or unresolved items that may impact member service delivery. - Ensure coordinators properly document case activity and maintain accurate system records. - Coordinate with other teams to resolve operational blockers affecting queue completion. - Member & Client Escalation Support - Serve as the first escalation point for complex member cases or service issues. - Assist coordinators in resolving barriers related to prescriptions, pharmacies, physicians, or program eligibility. - Escalate systemic or recurring operational issues to the Manager when necessary. - Team Development - Support onboarding and training of new coordinators and navigators. - Reinforce best practices for member communication, documentation, and service delivery. - Promote accountability, professionalism, and member-first service culture within the team. - Cross-Functional Collaboration - Work with Pharmacy Operations, Claims, Client Services, and other internal teams to resolve operational issues. - Provide feedback on workflow improvements and operational enhancements. - Support implementation of new operational processes or program updates. - Supervisory Responsibility - Directly supervises Care Coordinators, Care Navigators, and related frontline operational staff. - Responsible for daily performance oversight, coaching, and workload management. - Provides feedback to the Manager regarding staffing needs, performance concerns, and operational improvements. - Abides by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. Qualifications - 3–5+ years experience in healthcare operations, pharmacy benefits, specialty pharmacy, or related field (preferred) - 1–3+ years leadership experience supervising frontline teams (preferred) - Strong understanding of queue management and service-level driven environments. - Ability to monitor operational metrics and coach team members to improve performance. - Strong organizational and prioritization skills. - Excellent communication and coaching abilities. - Ability to manage competing operational demands in a fast-paced environment. - Proficiency in Microsoft Office and operational reporting tools. - Knowledge of HIPAA compliance and member data protection requirements. Education and Experience - Bachelor’s degree preferred - Relevant healthcare, pharmacy benefit management, or specialty pharmacy operations experience preferred. - Experience working in high-volume service environments with defined SLAs. Benefits - High Medical, Dental, Vision Insurance - Disability and Life insurance - Employee Assistance Program - Remote work options - Generous Paid-Time Off - Annual Reviews and Development Plans - Retirement Plan with company match immediately 100% vested

United States
Job Closed
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Care Coordinator

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Therapist45 days ago

Role Description The Care Coordinator will manage a case load of patients receiving medication sourced through multiple options including but not exclusive to manufacturers and international mail. This position will require interaction with Patient Assistance Programs (PAP), plus Southern Scripts vendors and patients, tracking monthly dispensing of medication. PAP and member engagement would include telephone, written correspondence, fax, or app. This position will also include supporting the Care Navigator team in outreach to pharmacies and physician offices to obtain patient contact information or other needed information. This will be done on behalf of the client and Southern Scripts ensuring specialty drug spend trend management savings in accordance with client agreement. - Utilizes resources to assist members in timely dispensing of medication by manufacturer and vendors. - Support the success of Southern Scripts and our clients through the development, presentation, and implementation of member-centric solutions that drive down the cost of specialty medications, while maintaining a positive member experience. - Supports department and client requirements in the meeting of turnaround times by working as needed to ensure all referrals are handled with a focus on a timely specialty drug delivery. - Provides support in meeting client expectations regarding efficiency, service levels, privacy maintenance, and quality of decision-making. - Responsible for maintaining compliance with ERISA, HIPAA, and client specific requirements. - Works as part of the team to meet business unit objectives. Expects and accepts work in an environment where change agility is fundamental to success. - Ability to deal with a diverse customer base in a friendly manner, including medical and pharmacy office providers, hospitals, members, home infusion providers and other vendors inclusive of our drug cost saving efforts. - Work from home will require a dedicated work space that includes a private location for discussions with constituents that potentially could include HIPAA information. - Must display empathy and effective listening skills to deliver successful cost savings transitions of care. - The ability to balance compassion, integrity, discretion, and sound judgement, with a strong desire to achieve and exceed expected metric. - Respect work rules and procedures. - Acts as an advocate for change. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Qualifications - High School degree. - 1 year experience with member engagement with PBM and/or medical background. - Prefer 1 year Specialty Pharmacy or PBM experience. - Prefer 1 year CRM platform experience. Requirements - Full-time, hourly/non-exempt position. - Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00AM to 5:00PM ET. - Ability to work extended hours, weekends and holidays pursuant with industry demands, although this would not be typical. Benefits - Medical, Dental, Vision Insurance - Disability and Life insurance - Employee Assistance Program - Remote work options - Generous Paid-Time Off - Annual Reviews and Development Plans - Retirement Plan with company match immediately 100% vested - Travel 10% or less.

United States
Job Closed
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Member Services Agent

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Bilingual56 days ago

Role Description The member services agent is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as communicating effectively with team members within the customer service department. - Knowledge of principles and processes for providing customer and personal services, including customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. - Confer with customers by telephone to provide information about Rx claims processing. - Keep detailed records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. - Follow-up to ensure that appropriate changes were made to resolve customers' problems. - Refer unresolved customer grievances to designated departments for further investigation. - Review Rx insurance policy terms to determine whether a claim is covered for employer group. - Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. - Resolve customers' service or billing complaints. - Obtain and examine all relevant information to assess validity of complaints and to determine possible causes. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Qualifications - High School or equivalent. - Customer service experience. - Computer experience. Requirements - Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. - Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. - Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources. - Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. - Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. - Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts, or otherwise negotiating with others. - Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job. - Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work. - Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. - Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems. - Customer and Client Focus. - Problem Solving and Analysis. - Time Management. - Communication Proficiency. - Teamwork Orientation. - Technical Capacity. - Multitasking. Benefits - Medical, Dental, Vision Insurance. - Disability and Life Insurance. - Employee Assistance Program. - Remote Work Options. - Generous Paid-Time Off. - Annual Reviews and Developmental Plans. - Retirement Plan with Company Match Immediately 100% Vested. Position Type and Expected Hours of Work This is a full-time, hourly position. Days and hours of work vary on shift assigned. The Call Center core hours of operation are Monday – Friday 6a – 10p, Saturday 6a – 8p, and Sunday 6a - 8p. Travel Minimal travel expected for this position to Natchitoches, Louisiana for training and development.

United States
Job Closed
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Accounting Assistant

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Role Description The Accounting Assistant works closely with Accounting Team members under the general supervision of the Accounting Administrator, and is responsible for providing support with: - Accounts Receivable - Accounts Payable - Vendor documentation and data maintenance Also provides excellent customer service while maintaining high Company standards in professionalism and strict confidentiality at all times. Additional responsibilities include: - Assessing office procedures and making necessary changes to improve office functioning - Training, assigning, and checking work of subordinates - Performing administrative support duties - Serving as a contact person for other employees or the outside public - Communicating with internal and external offices to obtain or share information - Ensuring administrative details are completed - Assisting in the preparation of invoices and verification of accuracy in relation to claims data - Submitting invoices and backup documentation to clients via electronic data interchange - Sending 15-day payment reminders to clients related to late invoice payments - Saving claim remits in .pdf file format at time of invoicing and disbursing to pharmacies at time of payment - Reconciling Accounts Receivable payments with invoices, noting discrepancies and communicating such to Billing Manager - Performing research related to pharmacy claim, payment and remit questions from clients and vendors - Maintaining and securing records necessary for 1099 compliance - Maintaining and updating pharmacy vendor files with changes in tax identification numbers, NPI numbers, and contact information using Help Desk system when necessary - Depositing payments in bank as needed - Maintaining confidentiality of information and data at all times - Proactively communicating on a daily basis to ensure issues and workflow priorities remain on target - Assisting with projects as needed and performing other duties as assigned - Abiding by all obligations under HIPAA related to Protected Health Information (PHI) - Reporting any HIPAA violations to the Compliance Officer and/or Human Resources - Attending, completing, and demonstrating competency in all required HIPAA Training offered by the company - Understanding that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee Qualifications - Ability to work with peers in a team effort - Familiar with general Accounts Payable and Accounts Receivable processes - Strong organizational and time management capabilities - Excellent written, verbal and interpersonal communication skills - General knowledge of Microsoft Dynamics - Ability to quickly learn specialized PBM software application - Basic knowledge in Microsoft Word and Excel - Detail oriented, with successful experience in meeting multiple deadlines - Aptitude for providing excellent customer service Requirements - GED required; associate or bachelor’s degree preferred - Accounts Receivable processes: 2 years - Accounts Payable processes: 2 years - Microsoft Word and Excel: 2 years Benefits - Medical, Dental, Vision Insurance - Disability and Life Insurance - Employee Assistance Program - Remote Work Options - Generous Paid-Time Off - Annual Reviews and Development Plans - Retirement Plan with Company Match - Immediately 100% Vested

United States
Job Closed
Southern Scripts logo

Member Services Agent

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Bilingual71 days ago

Role Description The member services agent is responsible for providing effective customer service for all internal and external customers by using excellent, in-depth knowledge of company products and programs as well as communicating effectively with team members within the customer service department. - Knowledge of principles and processes for providing customer and personal services, including: - Customer needs assessment - Meeting quality standards for services - Evaluation of customer satisfaction - Confer with customers by telephone to provide information about Rx claims processing. - Keep detailed records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. - Follow-up to ensure that appropriate changes were made to resolve customers' problems. - Refer unresolved customer grievances to designated departments for further investigation. - Review Rx insurance policy terms to determine whether a claim is covered for employer group. - Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. - Resolve customers' service or billing complaints. - Obtain and examine all relevant information to assess validity of complaints and to determine possible causes. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Qualifications - High School or equivalent. - Customer service experience. - Computer experience. Requirements - Interacting with Computers — Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information. - Communicating with Supervisors, Peers, or Subordinates — Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person. - Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources. - Communicating with Persons Outside Organization — Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. - Processing Information — Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data. - Resolving Conflicts and Negotiating with Others — Handling complaints, settling disputes, and resolving grievances and conflicts. - Updating and Using Relevant Knowledge — Keeping up-to-date technically and applying new knowledge to your job. - Organizing, Planning, and Prioritizing Work — Developing specific goals and plans to prioritize, organize, and accomplish your work. - Performing Administrative Activities — Performing day-to-day administrative tasks such as maintaining information files and processing paperwork. - Making Decisions and Solving Problems — Analyzing information and evaluating results to choose the best solution and solve problems. - Customer and Client Focus. - Problem Solving and Analysis. - Time Management. - Communication Proficiency. - Teamwork Orientation. - Technical Capacity. - Multitasking. Benefits - Medical, Dental, Vision Insurance - Disability and Life Insurance - Employee Assistance Program - Remote Work Options - Generous Paid-Time Off - Annual Reviews and Developmental Plans - Retirement Plan with Company Match Immediately 100% Vested Company Description Liviniti, LLC and all entities provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Liviniti expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D

United States
Job Closed
Southern Scripts logo

Director of Account Management

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Account Manager95 days ago

Role Description The Director of Account Management’s primary duty is a trusted advisor to the client and possesses strong business management skills. This individual is responsible for overseeing all client accounts, leading and mentoring the account management team, and driving organic and new business growth. In this role, you will maintain strategic relationships and help to guide our clients with the knowledge and solutions appropriate for their business, industry and trends, while maintaining overall client satisfaction and collaborating with key team members across various disciplines to deliver the highest quality of service every day. - Develop and manage talent: Identify the skills and performance criteria necessary for Account Management team member success and manage staff to meet and exceed these standards. - In coordination with the VP of Client Services, assist in creating career-building development plans for staff. - Coach and mentor Account Management team members by observing and providing feedback in order to foster development and success of individuals. - Establish departmental goals for service delivery measured through key performance indicators (KPI’s). - Evaluate team’s performance against the KPI’s and intervene with management direction to assist account management team meet and exceed goals. - Develop and ensure that the Account Management department standards, methods, and process and procedures for client service are followed. - Partner with leadership to create policies and procedures for the Account Management team to follow. - Revise policies and procedures based upon root cause analysis of issues to prevent recurrence. - Identify and implement key initiatives and assist in planning how significant new initiatives are rolled out to our clients and internal teams. - Identify operational efficiency opportunities and provide business requirements to assist in the evaluation of the impact of these suggestions. - Ensure that Account Management team adheres and complies to all SOC Audit Guidelines and Requirements. - Effectively communicate, manage and approve all department PTO Policy, Compensation, and Performance Management for the Account Management team. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Qualifications - Entrepreneurial attitude coupled with strong business acumen. - Capability to efficiently complete tasks in a fast-paced environment. - Must demonstrate strong negotiation and communication skills and excel under pressure. - Experience preparing and interpreting reports. - Excellent written, verbal and presentation skills. - Ability to manage multiple clients and deliverables simultaneously in a high energetic/fast paced environment. - Desire to take ownership of all clients’ issues and concerns, deliver great client service and communicate timely and effectively. - Flexibility to work collaboratively with co-workers and outside consultants. - Be proactive and remain current with pharmacy and industry initiatives to keep the client ahead of the curve. - Ability to travel and present to clients, as required. Requirements - Bachelor’s Degree in Communications, Marketing, Business, Finance, or equivalent. - 10+ years of direct client/account management experience; Healthcare or PBM experience a plus. - At least 3 years managerial experience leading a similar or like function. - Proficiency in Microsoft Office suite required. Benefits - Medical, Dental, Vision insurance. - Disability and Life insurance. - Employee Assistance Program. - Remote work options. - Generous Paid-Time Off. - Annual Reviews and Development Plans. - Retirement Plan with company match immediately 100% vested.

United States
Job Closed
Southern Scripts logo

Associate Care Navigator

Southern Scripts

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/D/V

Therapist109 days ago

Role Description The Associate Care Navigator will conduct case management on behalf of the client and Southern Scripts ensuring specialty drug spend trend management savings in accordance with client agreement. This position will solution for lowest cost drug while working in a high touch member centric manner, establishing a member relationship as a single point of contact. The Associate Care Navigator will provide targeted, personalized service based on a holistic view of the member, benefits, health information, and engagement. This may include site of service transitions and all other RxCompass component saving methods. This may include both medical and PBM claims. Member engagement would include telephone, written correspondence, fax, or app. Member engagements are typically non-routine and may require deviation from standard screens, scripts, and procedures to engage, consult, and educate members and providers by delivering individualized programs based upon the member’s unique needs and preferences. - Utilizes resources to assist members in understanding components of Southern Scripts products including claims, accumulators, usage, balances, and cost sharing. - Support the success of Southern Scripts and our clients through the development, presentation, and implementation of member-centric solutions that drive down the cost of specialty medications, while maintaining a positive member experience. - Supports department and client requirements in the meeting of turnaround times by working as needed to ensure all referrals are handled with a focus on a timely specialty drug service solution. - Provides support in meeting client expectations regarding efficiency, service levels, privacy maintenance, and quality of decision-making. - Responsible for maintaining compliance with ERISA, HIPAA, and client specific requirements. - Works as part of the team to meet business unit objectives. Expects and accepts work in an environment where change agility is fundamental to success. - Ability to deal with a diverse customer base in a friendly manner, including medical and pharmacy office providers, hospitals, members, home infusion providers and other vendors inclusive of our drug cost saving efforts. - Must display empathy and effective listening skills to deliver successful cost savings transitions of care. - The ability to balance compassion, integrity, discretion, and sound judgement, with a strong desire to achieve and exceed expected metric. - A proven background in medical/pharmacy benefits, particularly as these relate to specialty medications. - Respect work rules and procedures. - Acts as an advocate for change. - Abide by all obligations under HIPAA related to Protected Health Information (PHI). - If a HIPAA violation is discovered, whether individually or by another, you must report the violation to the Compliance Officer and/or Human Resources. - Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company. - Flexibility to understand, appreciate and embrace that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Qualifications - High School degree, some college preferred or equivalent experience. - 1-2 years’ experience with member engagement with PBM and Medical background. - 1-2 years’ Specialty Pharmacy or PBM experience. - 1-2 years’ CRM platform experience. - 1-2 years’ experience collaborating with Clinical, Prior Authorization, sales, account management, senior executive, and various external client facing relationships. Requirements - Full-time, hourly/non-exempt position. - Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00AM to 5:00PM CT. - Ability to work extended hours, weekends and holidays pursuant with industry demands, although this would not be typical. - This position could require overnight travel from remote location. Benefits - RxCompass, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. - In addition to federal law requirements, RxCompass, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. - This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. - RxCompass, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. - Improper interference with the ability of RxCompass, LLC employees to perform their job duties may result in discipline up to and including discharge.

United States
Job Closed

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