Centene is hiring a Service Delivery Manager to serve as the primary point of contact between account management and specialty pharmacy operations. You will be responsible for facilitating the resolution of escalated issues from payer clients and maintaining high levels of service quality.
What You'll Do
- 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.
- 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.
- Perform other duties as assigned and comply with all policies and standards.
What We're Looking For
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
- Associate’s degree in a related field or equivalent experience.
- 5+ years’ experience in pharmacy operations, including intake, insurance verification, and call center functions.
- Knowledge of pharmacy operational processes.
- Experienced ScriptMed user.
Technical Stack
- ScriptMed
Team & Environment
Part of the Medical Management/Health Services team. This role serves as the liaison between account management and specialty pharmacy operations.
Benefits & Compensation
- Compensation: $23.23 - $39.61 per hour.
- 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.
Work Mode
This position follows a hybrid work model, supporting Centene's fresh perspective on workplace flexibility.
Centene is an equal opportunity employer.
