• Supv Insurance Verification

    AllianceRx Walgreens PrimePittsburgh, PA 15222

    Job #1161114042

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    Supv Insurance Verification

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    Advertising Title:

    Supervisor, Insurance Verification (Specialty Pharmacy/Core)

    Desired qualifications, skills and experience:

    Preferred Qualifications

    • Experience leading groups of 15 or more employees with accountability for individual and team development/performance management

    About us:

    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

    Additional Qualifications

    • Strong interpersonal communication skills

    • Strong verbal and written communication skills with the ability to communicate in a diplomatic and confidential manner

    EEO statement:

    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 ~~~

    To view our Pay Transparency Statement, please click here: Pay Transparency Statement at ~~~

    If you need an accommodation or assistance in using the AllianceRx Walgreens Prime Careers website, please contact us at TA-HRIS-ARXWP at mailto:~~~ .

    Job description:

    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.

    Job Responsibilities

    • 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

    Supervisory Responsibilities

    • 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