Sr. Director, Coverage Review Operations
- Employer
- Express Scripts
- Location
- Dublin, Ohio
- Salary
- Not Specified
- Posted
- Jul 08, 2017
- Closes
- Sep 09, 2017
- Ref
- 4390574712#GIJ--J2CBackfill.1
- Category
- Operations
- Job Type
- Not Specified
- Career Level
- Not Specified
Schedule: Full-time Job ID: 150005DJ SUMMARY.
The Sr.
Director, Call Center Operations is responsible for the management and direction of multiple operations within the Coverage Review Determination team.
This is responsible for ensuring that quality, cost, and service targets along with client-specific SLA are met.
This includes planning, coordinating and directing prior authorization work within corporate and regulatory guidelines.
This manages a portfolio of projects, drives change management, employee engagement and development of team.
The Sr Director, Call Center Operations is responsible for creating annual strategic plans for site operations and is accountable to set and manage budget to meet corporate cost goals.
In addition, this will frequently provide site production and cost reporting updates to Senior Management.
ESSENTIAL FUNCTIONS.
Oversee operations in Dublin,OH, Mason, OH, and Vendor Sites.
Develop, monitor and ensure cost, quality and service objectives for these lines of business Must have executive level experience transforming large operations with successful outcomes in the areas of cost, quality and service.
QUALIFICATIONS.
Bachelor s Degree or equivalent.
10+ years operations management with P&L responsibility, Lean manufacturing/Six Sigma expertise, call center and operations excellence experience.
Directed/Managed large teams.
Process Improvement Expertise.
Must be client facing with strong presentation skills.
Medicare experience is a plus or at a minimum experience with Chapter 18 CMS and star rankings.
Ability to work cross functionally with internal stakeholders such as Product, Account Management, IT, and External Clients Ability to deep dive into core operations to support conflict resolution.
Ability to manage a diverse operational team with various communication channels: Phone, Email, Fax Strong management skills to drive numerous performance guarantees.
Excellent Communication skills Clinical knowledge a plus .
*LI-AC1 ABOUT THE DEPARTMENT The mission of Client Services is to meet market needs for speed, flexibility and reliability, while driving and influencing best operational practices to make Express Scripts the most competitive and effective PBM.
Client Services includes Client and Benefit Administration, Manual Claims Processing, Eligibility, Quality Control, Implementation and the Client Service Center.
These centralized functions support the client lifecycle throughout the enterprise to help Express Scripts get it right the first time to increase client satisfaction and reduce waste and the cost of rework.
ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers.
We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category.
Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce.
We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class.
Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.
The Sr.
Director, Call Center Operations is responsible for the management and direction of multiple operations within the Coverage Review Determination team.
This is responsible for ensuring that quality, cost, and service targets along with client-specific SLA are met.
This includes planning, coordinating and directing prior authorization work within corporate and regulatory guidelines.
This manages a portfolio of projects, drives change management, employee engagement and development of team.
The Sr Director, Call Center Operations is responsible for creating annual strategic plans for site operations and is accountable to set and manage budget to meet corporate cost goals.
In addition, this will frequently provide site production and cost reporting updates to Senior Management.
ESSENTIAL FUNCTIONS.
Oversee operations in Dublin,OH, Mason, OH, and Vendor Sites.
Develop, monitor and ensure cost, quality and service objectives for these lines of business Must have executive level experience transforming large operations with successful outcomes in the areas of cost, quality and service.
QUALIFICATIONS.
Bachelor s Degree or equivalent.
10+ years operations management with P&L responsibility, Lean manufacturing/Six Sigma expertise, call center and operations excellence experience.
Directed/Managed large teams.
Process Improvement Expertise.
Must be client facing with strong presentation skills.
Medicare experience is a plus or at a minimum experience with Chapter 18 CMS and star rankings.
Ability to work cross functionally with internal stakeholders such as Product, Account Management, IT, and External Clients Ability to deep dive into core operations to support conflict resolution.
Ability to manage a diverse operational team with various communication channels: Phone, Email, Fax Strong management skills to drive numerous performance guarantees.
Excellent Communication skills Clinical knowledge a plus .
*LI-AC1 ABOUT THE DEPARTMENT The mission of Client Services is to meet market needs for speed, flexibility and reliability, while driving and influencing best operational practices to make Express Scripts the most competitive and effective PBM.
Client Services includes Client and Benefit Administration, Manual Claims Processing, Eligibility, Quality Control, Implementation and the Client Service Center.
These centralized functions support the client lifecycle throughout the enterprise to help Express Scripts get it right the first time to increase client satisfaction and reduce waste and the cost of rework.
ABOUT EXPRESS SCRIPTS Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers.
We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category.
Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce.
We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class.
Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.
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