Harris Computer Systems

Harris Computer Systems

77 jobs near Columbus, OH

Service Delivery Manager

$23.23 - $39.61/hr

Analyze and monitor payer complaints to identify trends; develop and implement action plans to maintain high levels of quality service * Collaborate with account management and specialty pharmacy ...

... deliver high-quality managed services How will you make a difference? As a member of the Digital ... Bachelor's degree in Information Technology, Computer Science, Information Systems, Business, or a ...

Must Have Skills: * 10+ Years of proven experience overseeing all aspects of service delivery for major accounts, including full P&L and budget responsibility. * Solid project management skillsets ...

$70K - $80K/yr

About SmartCop SmartCop, part of Harris Computer's Frontline portfolio, delivers integrated public ... Our suite spans Computer-Aided Dispatch (CAD), Records Management (RMS), Mobile, and Jail ...

Software Engineer

Three Rivers, MI · On-site

$70K - $80K/yr

About SmartCop SmartCop, part of Harris Computer's Frontline portfolio, delivers integrated public ... Our suite spans Computer-Aided Dispatch (CAD), Records Management (RMS), Mobile, and Jail ...

$70K - $80K/yr

About SmartCop SmartCop, part of Harris Computer's Frontline portfolio, delivers integrated public ... Our suite spans Computer-Aided Dispatch (CAD), Records Management (RMS), Mobile, and Jail ...

$70K - $80K/yr

About SmartCop SmartCop, part of Harris Computer's Frontline portfolio, delivers integrated public ... Our suite spans Computer-Aided Dispatch (CAD), Records Management (RMS), Mobile, and Jail ...

$70K - $80K/yr

About SmartCop SmartCop, part of Harris Computer's Frontline portfolio, delivers integrated public ... Our suite spans Computer-Aided Dispatch (CAD), Records Management (RMS), Mobile, and Jail ...

Showing results 41-60

$23.23 - $39.61/hr

Full-time

Medical, Retirement, PTO

Posted 10 days ago


Centene rating

8.4

Company rating: 8.4 out of 10

Based on 405 frontline employees who took The Breakroom Quiz

14th of 895 rated healthcare providers


Job description

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: Serve as the primary point of contact and liaison between account management and specialty pharmacy operations. Responsible for facilitating the resolution of specialty pharmacy escalated issues from the account management team's payer clients.

  • Experience in Referral Processing and pharmacy is highly preferred
  • Investigate and provide resolution to payer concerns regarding specialty dispenses to members
  • Analyze and monitor payer complaints to identify trends; develop and implement action plans to maintain high levels of quality service
  • Collaborate with account management and specialty pharmacy operations departments to investigate and resolve all issues
  • Expedite urgent orders and follow through to dispense
  • Document and provide status updates on outstanding issues
  • Monitor high risk members and prescriptions to mitigate risk
  • Work with internal teams to enhance processes based on expertise and client insight
  • Mentor, develop and train newly hired team members as assigned.
  • Performs other duties as assigned
  • Complies with all policies and standards
Education/Experience: Associate's degree in related field or equivalent experience. 5+ years' experience in pharmacy operations (intake and insurance verification, call center). Knowledge of pharmacy operational processes (intake and insurance verification, call center, pharmacy dispensing). Experienced ScriptMed user.Pay Range: $23.23 - $39.61 per hour

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act


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