Service Delivery Manager

Centene
Missouri, Texas, Michigan, Florida
Workplace: RemoteFull timeUSD 23.23 - 39.61 hourlyFunction: Program & Project Management (PMO)Experience: 5+ yearsEducation: associatesSkills: ["Problem-solving","Communication","Analysis","Collaboration","Mentoring"]

Serve as the primary liaison between account management and specialty pharmacy operations for payer clients. Resolve escalated specialty pharmacy issues, investigate payer concerns, expedite urgent orders, and track outstanding items with clear status updates. Monitor payer complaints and high-risk members to maintain quality service and mitigate risk. Partner cross-functionally to improve processes and mentor newly hired team members. ScriptMed experience is preferred.

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Centene
Centene
1 day ago

Service Delivery Manager

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Last checked: 11 hours agoStatus: Live

Job Summary

Serve as the primary liaison between account management and specialty pharmacy operations for payer clients. Resolve escalated specialty pharmacy issues, investigate payer concerns, expedite urgent orders, and track outstanding items with clear status updates. Monitor payer complaints and high-risk members to maintain quality service and mitigate risk. Partner cross-functionally to improve processes and mentor newly hired team members. ScriptMed experience is preferred.
Location: Missouri, Texas, Michigan, Florida
Workplace: Remote
Employment Type: Full time
Job Function: Program & Project Management (PMO)
Seniority: Manager level

Key Responsibilities

  • •Serve as the primary point of contact and liaison between account management and specialty pharmacy operations.
  • •Facilitate resolution of escalated specialty pharmacy issues from payer clients.
  • •Investigate and resolve payer concerns regarding specialty dispenses to members.
  • •Analyze payer complaints to identify trends and develop action plans to maintain quality service.
  • •Expedite urgent orders, follow through to dispense, document issues, and provide status updates; mentor and train team members as assigned.

Pay and Benefits

Salary: USD 23.23 - 39.61 hourly
Perks:Health Insurance401kPaid LeaveEquityRemote WorkHolidays

Key Requirements

  • •Associate’s degree in a 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).
  • •Experience resolving specialty pharmacy escalated issues for payer clients.
  • •Experienced ScriptMed user.
Experience:5+ yearsPharmacy operationsSpecialty pharmacy
Education:Associate's
Skills:Problem-solvingCommunicationAnalysisCollaborationMentoring
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