Client Experience Manager, Pharmacy Benefits Management
Core
Manage client and member support operations for Pharmacy Benefit Management plans, handling plan changes, claims issues, and eligibility processes.
Role type
Client Experience Manager (PBM)
Builds
Client and member support workflows for pharmacy benefit plans
Domain
Health Insurance / Pharmacy Benefit Management
Deliverable
client delivery
Required skills
Plan change management, ID card facilitation, claims issue resolution, prior authorization oversight, manual eligibility management, reporting, external meeting facilitation
Preferred skills
Salesforce proficiency, Certified Pharmacy Technician certification, problem solving
Technologies
Salesforce
Responsibilities
Perform and support plan changes, facilitate ID card issuance, conduct inbound phone calls, oversee prior authorization and accessibility processes, resolve claims issues, perform manual eligibility adds and terminations, complete documentation requests, serve as a presence during implementation, facilitate external-facing meetings
Seniority
Mid-level, hands-on IC
