At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Service Delivery Manager - Contact CenterJob Description The Manager Service Delivery is responsible for the direct oversight of a team of Member Operations Service Delivery Analysts. This role provides their team with strategic support, and helps to identify enhancements to process/training. They will recommend adoption of best practices to reduce effort required of customers. This role will also lead implementation of Member Operations changes impacting clients that may be product, strategic, IT, senior leadership driven or operational in scope. Responsibilities - Support clients by operating as the liaison between Member Operations teams - Maintain client action logs to drive internal project plans and report results/progress to clients - Identify areas/potential projects where process redesign/improvement can significantly impact efficiency, quality, profitability, competitive position and customer satisfaction - Direct Service Delivery team in the areas of client relations and implementations and team development - Work closely with the Member Operations senior leadership team to achieve strategic goals and define and manage the execution and communications around the delivery of medium and large-scale implementations - Clarify, manage and prioritize all client requests relative to operational processes in partnership with the Service Excellence team - Conduct in-flight and after-action reviews of the performance results and conformance to expectations for initiatives - Other duties as assigned Minimum Qualifications - Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required - 6 years of work experience in health care industry or operations including 1 year of account or relationship management/client service delivery - 1 year leadership/people management experience - Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications - Team player, comfortable with fast paced, changing environment and ambiguity - Excellent communication skills, verbal, written and presentation, with the ability to communicate information in a manner that promotes credibility and facilitates the resolution of different views - Able to work effectively with all organizational levels - Proficiency in Microsoft Word, Excel and Power Point; working knowledge of Visio Preferred Qualifications - Project Management Professional (PMP) certification - Experience interfacing (presenting, interacting) with executive and senior leadership team members Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits). Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.

• Engage target members (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support open and constructive dialog on sensitive topics. • Conduct initial holistic health assessments that help build an understanding of a member’s specific situation and needs and identify any social determinants of health (SDOH) and cultural influences that may impact potential lifestyle changes. • Create a space where a case manager and member can collaborate, along with relevant caregivers and providers, to develop a member-centric case management plan that sets goals, addresses potential barriers, and leads to improved health outcomes. • Monitor, evaluate, and update the effectiveness of the member's case management plan to ensure progress toward goals is being made and that current goals remain pertinent. • Facilitate communication and coordination among the health care team to maximize delivery of appropriate care. • Provide interventions focused on removing barriers, promoting positive behavior change using motivational interviewing techniques, and stabilizing the members’ natural support systems by ensuring that caregiver needs are identified and being met. • Maintain concise, accurate, and timely documentation that meets accreditation, contractual, and legal requirements.

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: The Supervisor of the Revenue Cycle and Patient Accounts team will assist with leadership and support to the staff as well as operational management. Qualifications: Leadership experience required, Patient Account/Revenue Cycle experience strongly preferred Schedule: 8 hours between 7am - 7pm, to include some Saturdays Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. *Candidates to reside in MO, IL, OK, or WI Job Summary: Supervises the daily activities of the patient account representatives. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES - Provides oversight for processing insurance payments, following up on denied claims, and resolving credit balances. - Creates work schedules, coordinates and supervises daily staffing assignments and staffing levels. - Responsible for management functions including activities related to staffing such as recruitment, hiring, performance evaluation, and compensation determination. - Performs other duties as assigned. EDUCATION - Associate's degree or equivalent combination of experience and education EXPERIENCE - Two years' experience REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS - None Department: 8701060033 HB Cash Applications Work Shift: Day Shift (United States of America) Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. - Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). - Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. - Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

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