Supervisor Customer Care - Remote

Prime Therapeutics•Harrisburg, PA

3d•$59,000 - $94,000•Remote

About The Position

The Supervisor Operations is responsible for ensuring their team delivers on daily production goals and support of key product offerings (Benefit/Network/Formulary Design, e-Prescribe, Claims Processing, Integrated Product Solutions, Consumer Directed Health Plan, Medicaid and Medicare plans). This position is responsible for talent management efforts, maintenance of processes and procedures, and providing subject matter expertise for escalated issues or project support.

Requirements

Bachelor's degree in Business, Healthcare or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required
3 years of work experience in Operations Management, Pharmacy Benefit Management, Healthcare, Insurance, or highly regulated market
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Ability to work well within in a team and build relationships across teams
Excellent verbal and written communication skills
Ability to coordinate multiple projects/tasks simultaneously without compromising quality
Strong analytical, problem solving, and decision-making skills

Nice To Haves

PBM or health care experience
Experience with RxClaims
Supervisory/people management Experience
Experience with E-Prescribe, Consumer Directed Health Plans, or Benefit Edit Tools

Responsibilities

Monitor and manage team workload and capacity, quality metrics, cost, and efficiency to ensure performance guarantees, turnaround times and other internal and external service levels are met setting clear priorities and coaching team members when required to meet service levels and member needs
Execute on talent management responsibilities (goal setting, performance reviews, performance feedback, discipline, development goals, business goals, training, etc.) for immediate focus area or client team
Provide Subject Matter Expertise (SME) knowledge to internal and external stakeholders via research support, project leadership, implementation support, and internal/external audits
Maintain and regularly update operational documentation, including Standard Operation Procedures (SOPs), Desktop Procedures (DTPs), training manuals, and related tools, to ensure accuracy, consistency, and alignment with current practices
Resolve escalated client issues and inquiries by identifying root causes and delivering timely, effective solutions to ensure client satisfaction and retention
Other duties as assigned