Centene Corporation · 13 hours ago

Service Delivery Manager

Florida, United States

Full-time

Remote

Mid, Senior Level

$22.36/hr - $38.07/hr

5+ years exp

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Responsibilities

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

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Pharmacy operationsInsurance verificationCall center experienceScriptMedQuality serviceMentoring