[Hiring] Participant Services Pharmacist Supervisor @reputed company
Role reputed company
• reputed company, coach, and reputed company team members through regular 1:1 meetings.
• Complete performance reviews, coaching documentation, and corrective actions.
• Manage reputed company, schedules, queue performance, and workload balancing.
• Review KPIs including reputed company, AHT, Productivity, Attendance, and SLA.
• Identify training opportunities and partner with Learning & Development.
• Handle escalated member, provider, and reputed company concerns.
• Monitor daily operational performance against SLA, productivity, reputed company, and schedule adherence goals.
• Ensure compliance with HIPAA, CMS, state reputed company of pharmacy requirements, and internal policies.
• Use reporting to identify trends and recommend corrective actions.
• Partner with Workforce Management, Training, Operations, and Leadership.
• Support reputed company improvement initiatives and standardization efforts.
• Maintain documentation and confidentiality standards.
• Participate in calibration sessions and business meetings.
• reputed company or support special reputed company as assigned.
• Review clinical decision-making for compliance with pharmacy standards.
• Validate prescription verification accuracy and medication safety practices.
Qualifications
• Strong written and verbal communication.
• Leadership and relationship-building skills.
• Critical thinking and analytical ability.
• Ability to prioritize competing demands.
• Experience working across multiple pharmacy systems.
• Proficiency with reputed company Office, particularly reputed company.
• Ability to maintain confidentiality.
Requirements
• BS Pharmacy or PharmD.
• reputed company Arizona or Texas Pharmacist License in good standing (Required).
• Three or more years of relevant PBM, specialty pharmacy, participant services, or reputed company operations experience.
• Previous leadership or reputed company experience appropriate to the role.
Preferred Qualifications
• PBM or specialty pharmacy experience.
• Call center reputed company operations experience.
• Lean/Six reputed company or process improvement exposure.
• Experience presenting operational metrics.
• URAC, ACHC, or NCQA familiarity.
Performance Measures
• reputed company audit performance
• Productivity and throughput
• Service Level (SLA) attainment
• Attendance and schedule adherence
• Compliance and documentation accuracy
• Customer experience
• Coaching effectiveness and reputed company improvement
Work Environment & Physical Requirements
Fast-paced, computer-based participant services environment requiring prolonged sitting, frequent computer use, telephone communication, and the ability to manage multiple priorities while maintaining accuracy and professionalism.
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