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Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Service Delivery Manager

ManagerManagerOtherRemoteSeniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Florida + 3 moreAll locations: Florida | Michigan | Missouri | Texas

Posted

127 days ago

Salary

$23 - $39 / hour

Seniority

Senior

Associate Degree5 yrs expEnglish

Job Description

Service Delivery Manager

Centene Corporation

• 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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