Express Scripts Jobs in Brentwood

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The successful candidate will manage a team of 3 to 5 analysts in the setup, payment, tracking and reporting of financial, rebate and performance guarantees in accordance with Express Script’s PBM client contracts. Collaboration with cross-functional teams will be vital to meeting deadlines and expectations of position. Additionally, this individual will assist in the department strategic planning...
JOB SUMMARY: Provides assistance and support for national customers and patients. Coordinates and oversees the processing of the daily operation of national accounts, which may include specialty staffing, research support, referral process, trend analysis, and data/specimen collection. Also, customizing invoices and providing activity reports for assigned customers and management. ESSENTIAL FUNCTI...
The Coverage Review Department (CRD) is an inbound and outbound contact center dedicated to assisting patients in reviewing and obtaining Prior Authorization requests, utilization management and appeals. This position reviews requests from doctors and pharmacists to determine whether medication coverage prior authorization can be given by screening and reviewing requests based on benefit plan desi...
A Sr. Medicare D Prior Authorization Representative (PAR) handles Medicare D phone calls and reviews, creates, and completes Medicare D prior authorization cases. Serves as a technical expert to the Medicare and Medicare compliance teams by assisting with Medicare inbound calls and related fax and web case requests with efficient resolution of member and client related inquiries. Provides directio...
Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutions in a comm...
Processing the Order completion portion of an order. Team identifies the drug, directions quantity prescribed and dosage Pends or pradds to a protocol area if need be. Utilizes drug notes and DPG’s to research any unclear information before pending or pradding. Recap all information including patient name, drug, directions, quantity, DAW and refills before submitting the order. Correctly input the...
DESCRIPTION Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutio...
Responsible for day-to-day operations of a team of associates in a call center and monitors productivity and performance standards. Plans and directs work flow and project assignments. Oversees call volume to ensure service standards are met. Conducts hiring, training, and evaluation of staff. Responsible for team’s adherence to corporate attendance and employment policies. Works with the Call Cen...
ESSENTIAL FUNCTIONS: Make outbound calls to physician offices and clients to verify patient information Transfer calls to Pharmacy team Utilize multi-screen Windows based computer system to research and document calls Schedule appointments Use phone and computer system to transfer calls Other duties and functions as required QUALIFICATIONS: 0-1 years Customer Service, Office Support or equivalent...
Essential Functions: Process all new and refill prescriptions. Open orders as needed, verify eligibility, proof and input prescriptions while maintaining productivity and quality standards. Document correspondence and follow up in system. Prepare audit sheets and provide feedback to supervisor. Open orders as needed, verify eligibility, cross check income documents with application (tax forms, ssn...
ESSENTIAL FUNCTIONS: Responsible for developing effective relationships with key business leaders by providing strategic, integrated advice and direction on business issues with HR implications. Partner with, educate, and support leaders through core HR programs (e.g., performance management, compensation planning, talent planning, etc.) Partners with business leaders to understand business object...
The Coverage Review Department (CRD) is an inbound and outbound contact center dedicated to assisting patients in reviewing and obtaining Prior Authorization requests, utilization management and appeals. This position will be the primary contact for identified internal and external auditors and other state and federal regulatory agencies. Assist management with the implementation of internal contr...
DESCRIPTION Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutio...
POSITION SUMMARY: The position will provide business direction and project management for strategic projects. The individual in the role will lead cross-functional strategic initiatives projects, provide content/idea creation, work cross-functionally, develop strategic planning communications (verbal and written), and be responsible for directing, managing and synthesizing strategic topics. The in...
Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutions in a comm...
ESSENTIAL FUNCTIONS Process all new and refill prescriptions. Open orders as needed, verify eligibility, proof and input prescriptions while maintaining productivity and quality standards. Document correspondence and follow up in system. Prepare audit sheets and provide feedback to supervisor. Open orders as needed, verify eligibility, cross check income documents with application (tax forms, ssn...
DESCRIPTION Handle customer service inquiries from members, providers, physicians and internal and external clients related to pharmacy benefits. Work to research and resolve problems in a timely manner. Assist members in understanding and maximizing the use of their pharmacy distribution program. Use computerized system to gather information and respond to questions. Document issues and resolutio...
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