Supv Insurance Verification
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Supervisor, Insurance Verification (Specialty Pharmacy/Core)
Desired qualifications, skills and experience:
AllianceRx Walgreens Prime delivers maintenance medicines and specialty medicines through its mail service and central specialty pharmacies. Formed in 2017 through a strategic alliance between Walgreens, one of the nation's largest chain drug stores, and Prime Therapeutics, a leading pharmacy benefit manager (PBM), we offer tools and resources to help patients improve medication adherence, 24/7 pharmacy support for exceptional care. The company is headquartered in Orlando, FL and its pharmacies are accredited by several national pharmacy accreditation services.
Required qualifications, skills and experience:
Minimum Required Qualifications
Bachelor's degree in healthcare, or related area of study; or equivalent combination of education and/or relevant work experience
3 years' work experience as a Supervisor Insurance Verification or relevant experience in the insurance verification industry
Strong interpersonal communication skills
Strong verbal and written communication skills with the ability to communicate in a diplomatic and confidential manner
AllianceRx Walgreens Prime is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
If you'd like more information about your EEO rights as an applicant under the law, please review EEO is Law at ~~~ and the EEO is Law Supplement at ~~~
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If you need an accommodation or assistance in using the AllianceRx Walgreens Prime Careers website, please contact us at TA-HRIS-ARXWP at mailto:~~~ .
Supervisor Insurance Verification is responsible for managing all components of insurance verification. This position may also include scheduling, adjusting personnel to meet work volume needs and service levels, training, and employee coaching, and performance management.
Conduct performance reviews, quarterly check-ins, and staff 1:1s to guide performance management and employee development and manage toward departmental goals, including quality and process improvement efforts
Coordinate department schedules to ensure appropriate workload and ratio balance
Oversee all aspects of the Insurance Verification team including verifying insurance coverage, completing Medical Verification, and investigations into major medical benefits (including Medicare) or pharmacy benefits
Assist in establishing and refining standard operating procedures to meet/exceed service levels. Document pharmacy processes including all updates
Identify, develop and implement potential solutions to resolve problems and/or remove barriers that inhibit the department's ability to achieve performance goals
Other responsibilities as judgment or necessity dictate
Responsible for the development, oversight and implementation of departmental budget
Responsible for leading a team through teaching, coaching and inspiring by fostering a sense of energy, ownership and a responsibility for the flawless execution of operational excellence; engage in the selection and hiring process as needed