FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing program operations, developing metrics, and ensuring compliance with service level agreements. Proven ability to lead teams, enhance training materials, and effectively communicate with internal and external stakeholders.
Highest-signal resume keywords
Pharmacy Benefit ManagementMedical Benefit VerificationsPrior AuthorizationCustomer ServiceTeam Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Program Operations ManagementBudget ManagementData AnalysisWorkflow DocumentationQuality Compliance Tracking
Soft Skills
Verbal CommunicationWritten CommunicationProblem-SolvingTeam DevelopmentFlexibility
Tools & Technologies
Microsoft Office
Industry Keywords
Specialty PharmacyPatient Support ServicesCall Center ExperienceTraining DevelopmentProgram Guidelines
About the role
Key responsibilities & impact- Manage the day-to-day activities of program operations within the contracted budget
- Enforce program guidelines and project-specific procedures
- Supervise operational staff and coordinate team activities
- Assist in developing program metrics and identifying efficiencies
- Monitor metrics to ensure adherence to program SLAs
- Resolve complex, escalated, and unresolved cases
- Participate in interviewing, evaluating, training, and developing employees
- Create and update training materials and project-specific procedures
- Translate decisions and discussions into documented workflow processes
- Track employee compliance with quality, service, and program standards
- Conduct at least monthly team meetings with agendas and minutes
- Assist with presenting program information to internal and external customers
- Coordinate with managers to set team goals and expectations
- Develop policies, procedures, and business work plans with the Program Manager
- Participate in internal and external in-person and virtual meetings/events
- Perform other duties as assigned
Requirements
What you’ll need- Associate or Bachelor’s degree in relevant discipline or equivalent work experience
- Five (5) or more years of relevant experience in pharmacy benefit management, specialty pharmacy or patient support/access (HUB) services preferred
- Three (3) or more years of relevant experience in pharmacy and/or medical benefit verifications, prior authorization and/or appeals required
- Customer service experience required
- Call center experience preferred
- Strong computer skills with specific aptitude in Microsoft Office
- Excellent verbal and written communication and presentation skills
- Strong analytical and problem-solving skills
- Ability to lead and develop a successful team required
- Ability to work a flexible schedule
- Ability to travel as needed
- Supervises 1–20 direct reports
Benefits
Comp & perks- Remote opportunities
- Competitive salaries
- Growth opportunities for promotion
- 401K with company match
- Tuition reimbursement
- Flexible work environment
- 20 Days PTO (Paid Time Off)
- Paid Holidays
- Employee assistance programs
- Medical, Dental, and vision coverage
- HSA/FSA
- Telemedicine (Virtual doctor appointments)
- Wellness program
- Adoption assistance
- Short term disability
- Long term disability
- Life insurance
- Discount programs