Network Client Services Manager
3 weeks ago
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleNetwork Client Services Manager - RemoteJob DescriptionThe Networks Client Services Manager is responsible for managing Prime's network products and supporting key internal stakeholders in the socialization and adoption of network strategies and initiatives for assigned clients. This position is accountable for supporting, managing and facilitating the implementation of operational plans for a complex set of programs and critical initiatives, including the review and integration of applicable state and federal regulations or guidance into Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all network (non-financial) performance guarantees are met as well as supporting financial guarantee management and interests.ResponsibilitiesCollaborate with clients, the Director of Network Client Services, and other key stakeholders to identify areas of focus and potential projects where process redesign/improvement can impact efficiency, quality, profitability, competitive position and customer satisfaction; provide recommendations to Network Management leadership regarding opportunities and improvement initiativesSupport the execution and adoption of new network strategies and initiatives and ensure compliance and measures to support pharmacy network performance are appropriately represented in new or changing programsWork with clients, Director of Network Client Services, and other key stakeholders related to specific network products and initiatives to evaluate and synthesize client requests and provide guidance on implementation requestsParticipate in the preparation and delivery of performance based presentations for internal and external stakeholders to drive quality improvement programs and network design changesSupport Client facing teams in business case and project request development; serve as liaison back to the impacted stakeholders within Network Management to identify and resolve all associated risks or action itemsFacilitate and support client specific action plans and tracking methodology, including the management of a single view dashboardOther duties as assignedRequired QualificationsBachelor's degree in finance, business, healthcare management or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required5 years of experience in sales, network management or operations within healthcare, pharmacy benefit management (PBM), or retail pharmacy to include at least 2 years of experience working directly with Medicaid and Medicare or other regulatory guidanceMust be eligible to work in the United states without the need for work visa or residency sponsorshipAdditional QualificationsDemonstrated interpersonal effectiveness with the ability to mesh client and internal business working partnershipsWell-developed analytical, organizational, interpretive, and time-management skillsAbility to simultaneously manage multiple projects within strict timelines, under pressureAbility to establish rapport and build relationships at all levels within an organizationNegotiation and influencing skillsPreferred QualificationsKnowledge and experience in Retail Pharmacy, or working with Retail and Chain provider representatives and/or Provider Performance IndicatorsPrior experience with Pharmacy Network ContractingExperience working with Commercial and Medicare and/or Medicaid programsTrack record of success in dealing effectively with complex projects entailing frequent interaction with executivesPosition RequirementsAbility to travel up to 10% of the timeConstantly required to sit, use hands to handle or feel, talk and hearFrequently required to reach with hands and armsOccasionally required to stand, walk and stoop, kneel, and crouchOccasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 poundsSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focusReporting StructureReports to Director Network Client Services in the Network Management departmentPrime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.Positions will be posted for a minimum of five consecutive workdays.
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