Case Manager, Client Paid Operations

Cencora

. Coordinate complex prescription processing by verifying data accuracy, resolving insurance rejections, handling specialty medications, and ensuring appropriate documentation .

Posted 9/28/2026full-timeRemote • CanadaJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coordinating complex prescription processing, managing prior authorizations, and ensuring compliance with pharmacy regulations. Proficient in inventory management and quality assurance within pharmacy operations.

Highest-signal resume keywords

Prescription Processing CoordinationPrior Authorization ManagementInventory ManagementPharmacy ComplianceQuality Assurance Activities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data Accuracy VerificationSpecialty Medication HandlingControlled Substance ProcessingCycle CountingPharmacy System Troubleshooting

Soft Skills

Problem SolvingAttention to DetailCommunication

Certifications & Qualifications

Pharmacy Technician RegistrationState Licensure

Industry Keywords

Pharmacy OperationsRetail PharmacyHospital PharmacySpecialty PharmacyInsurance Rejections

About the role

Key responsibilities & impact

Coordinate complex prescription processing by verifying data accuracy, resolving insurance rejections, handling specialty medications, and ensuring appropriate documentation
Handle prior authorization activities by gathering documentation, submitting requests to payers, tracking status, and following up on approvals
Perform inventory activities by monitoring stock levels, processing controlled substance orders, conducting cycle counts, and handling medication recalls
Ensure compliance with regulations, maintain required records, prepare for audits, and follow state board guidelines
Handle specialty pharmacy operations by processing specialty pharmacy orders, coordinating with manufacturers, and ensuring proper storage
Resolve technical issues by troubleshooting pharmacy system errors, researching drug information, addressing billing discrepancies, and escalating to pharmacists
Perform quality assurance activities by identifying process errors, documenting incidents, and implementing corrective actions

Requirements

What you’ll need

Bachelor's degree in pharmacy, life sciences, or a related field, or equivalent experience required
2+ years of experience in pharmacy operations, retail, hospital, specialty, customer service, or a related field required
Active pharmacy technician registration or licensure as required by the state(s) of practice preferred

Benefits

Comp & perks

Medical, dental, and vision care
Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Behavioral health solutions
Paid parental leave
Paid caregiver leave
Training programs
Professional development resources
Mentorship programs
Employee resource groups
Volunteer activities