Pharmacy Network Advisor (Centene) - Express Scripts - Hybrid
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The job profile for this position is Account Management (Non-IC) Advisor, which is a Band 4 Senior Contributor Career Track Role.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
POSITION SUMMARY:
The Pharmacy Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene lines of business, including Medicaid, Medicare, and Healthcare Marketplace/Exchange. Responsible for the planning, internal coordination, maintenance, and communication of pharmacy network activities and performance for line of business initiatives while maintaining key client relationships. Utilize technology, tools, processes and resources to anticipate and exceed client needs and expectations. Collaborate with internal business partners on client activity, expectations, and service needs.
ESSENTIAL FUNCTIONS:
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 94,700 - 157,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit .
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this .
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Excited to grow your career?
We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!
Our people make all the difference in our success.
POSITION SUMMARY:
The Pharmacy Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene lines of business, including Medicaid, Medicare, and Healthcare Marketplace/Exchange. Responsible for the planning, internal coordination, maintenance, and communication of pharmacy network activities and performance for line of business initiatives while maintaining key client relationships. Utilize technology, tools, processes and resources to anticipate and exceed client needs and expectations. Collaborate with internal business partners on client activity, expectations, and service needs.
ESSENTIAL FUNCTIONS:
- Manage day to day client relationships through comprehensive knowledge of client's Network contractual and regulatory requirements.
- Daily interaction with clients, consultants and producers providing preventative consultation, analysis and issue resolution associated with core services.
- Responsible for timely and accurate management and execution of all client Network requests, including Network changes, error corrections, new setups and escalated issues.
- Lead client resolution/escalation of client network issues as well as custom technology projects or strategies.
- Support ongoing collaborative efforts with external partners and their consultants to conduct off-site meetings and recurring webcasts as appropriate.
- Champion internal advocacy for client service. Member experience.
- Support Risk Management for client performance guarantees.
IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:
- Bachelor's degree in related field or 8+ years of relative account management experience
- Experience working in the regulated markets space
- Excellent PC skills including Microsoft Office and Internet experience
- Excellent verbal and written communication and presentation skills
- Strong analytical and problem-solving skills
- Strong focus on client satisfaction and client retention results
- Demonstrated ability managing projects, utilizing proven project management processes
- Ability to work cross-functionally to proactively communicate and to resolve issues with the highest sense of urgency
- Ability to travel overnight up to 10%
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 94,700 - 157,900 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit .
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this .
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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