Centene Corporation

Service Delivery Manager

Centene Corporation

full-time

Posted on:

Location Type: Remote

Location: Florida • Missouri • United States

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Salary

💰 $23 - $40 per hour

About the role

  • 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

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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
pharmacy operationsintake processesinsurance verificationcall center operationspharmacy dispensingissue resolutiondata analysistrend identificationaction plan developmentrisk mitigation
Soft Skills
communicationcollaborationmentoringtrainingproblem-solvingorganizational skillsclient insightquality service focus
Certifications
Associate’s degree