Hybrid Manager – Provider and Member Services

Posted last month

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About the role

  • Develop and maintain the department’s call center goals as defined by senior management
  • Enhance member and provider relationships by increasing satisfaction through leadership of the Pharmacy Help Desk and Member Services teams
  • Promote teamwork and accountability in a performance based work environment
  • Hire, train, mentor, and evaluate staff; manage personnel issues
  • Monitor workflow, identify process improvement, and implement system changes
  • Be accountable for overall quality, performance, customer satisfaction and financial goals for the servicing department
  • Support and oversee supervisors and specialists and corporate initiatives
  • Work closely with operations, support services and HR to ensure staffing, quality delivery, and staff development
  • Oversee daily attendance, productivity, and quality standards for team members
  • Maintain high levels of internal and external customer satisfaction and drive first-call resolution
  • Monitor performance metrics and adjust assignments to meet service level goals
  • Ensure adequate coverage through scheduling oversight and workload management
  • Manage departmental budget and proactively address operational challenges using data insights
  • Maintain up-to-date knowledge of contracts, benefits, and internal systems and ensure HIPAA compliance through regular monitoring and auditing of team communications

Requirements

  • Bachelor’s degree required
  • An additional four (4) years of experience will be considered in lieu of degree
  • Five (5) years of experience in pharmacy or customer service, to include experience in a call center, required
  • Experience with pharmacy online claims billing preferred
  • Two (2) years of progressive leadership/management experience required
  • Strong leadership skills to include coaching, training, conflict resolution, performance improvement and goal achievement
  • Excellent communication skills with the ability to influence and collaborate across functions
  • Ability to solve problems and demonstrate process management expertise
  • Ability to manage departmental budgets and interpret financial data
  • Ability to align departmental goals with organizational objectives
  • Skilled in developing cross-functional teams and proactively addressing challenges through data and metrics
  • Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring
  • Immigration or work visa sponsorship will not be provided for this position

Benefits

  • First-class perks, benefits and a culture that fosters growth, innovation and collaboration
  • Associates may be eligible for a scorecard incentive
  • Full range of benefits
  • Generous paid time off
  • Reasonable accommodations for qualified individuals with disabilities and disabled veterans

Job title

Manager – Provider and Member Services

Job type

Experience level

Mid levelSenior

Salary

$76,500 - $85,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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