Service Delivery Manager

Centene
Missouri, Texas, Michigan, Florida
Workplace: RemoteFull timeUSD 23.23 - 39.61 hourlyFunction: Program & Project Management (PMO)Experience: 5+ yearsEducation: associatesSkills: ["Customer issue resolution","Analysis","Process improvement","Mentorship","Cross-functional collaboration"]

Serve as the primary liaison between payer account management and specialty pharmacy operations to drive resolution of escalated specialty pharmacy issues. Investigate and resolve payer concerns, analyze payer complaints to identify trends and improve service quality, and ensure timely processing of urgent orders. Monitor high-risk members and prescriptions, document issue status updates, and partner cross-functionally to enhance processes. Mentor and train newly hired team members as needed.

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Centene
Centene
1 day ago

Service Delivery Manager

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Last checked: 6 hours agoStatus: Live

Job Summary

Serve as the primary liaison between payer account management and specialty pharmacy operations to drive resolution of escalated specialty pharmacy issues. Investigate and resolve payer concerns, analyze payer complaints to identify trends and improve service quality, and ensure timely processing of urgent orders. Monitor high-risk members and prescriptions, document issue status updates, and partner cross-functionally to enhance processes. Mentor and train newly hired team members as needed.
Location: Missouri, Texas, Michigan, Florida
Workplace: Remote
Employment Type: Full time
Job Function: Program & Project Management (PMO)
Seniority: Manager level

Key Responsibilities

  • •Act as primary point of contact and liaison between account management and specialty pharmacy operations.
  • •Facilitate resolution of specialty pharmacy escalated issues from payer clients.
  • •Investigate and resolve payer concerns regarding specialty dispenses and expedite urgent orders through to dispensing.
  • •Analyze and monitor payer complaints to identify trends and develop action plans to maintain quality service.
  • •Document and provide status updates on outstanding issues; monitor high-risk members and prescriptions; mentor and train newly hired team members as assigned.

Pay and Benefits

Salary: USD 23.23 - 39.61 hourly
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Associate’s degree in a related field or equivalent experience.
  • •5+ years’ experience in pharmacy operations, including intake and insurance verification and call center experience.
  • •Knowledge of pharmacy operational processes such as intake and insurance verification, call center, and pharmacy dispensing.
  • •Experience with referral processing and specialty pharmacy is highly preferred.
  • •Experienced ScriptMed user.
Experience:5+ yearsPharmacy operations
Education:Associate's
Skills:Customer issue resolutionAnalysisProcess improvementMentorshipCross-functional collaboration
Tech Stack:ScriptMed

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn