Pbm Operations Supervisor

Our HealthSmart team understands the difference we make when treating our clients, their members, and HealthSmart employees with dignity and respect. We embody our mission by promoting a diverse and inclusive culture while ensuring career flexibility and growth opportunities. Some of what we offer:

• Flexible schedules like remote and hybrid location opportunities for qualifying roles
• Job Discovery Program for employees who are interested in a career path within the organization
• Continued learning for HealthSmart employees including a Leadership Development Program
• Tuition Reimbursement Program
• Employee Referral Bonus Program
• Employee rewards and recognition program

HealthSmart is one of the largest third-party administrators in the country and the premier provider of customizable and scalable health plan solutions for self-funded employers. We have a collaborative and engaged employee culture, ranking in the top 10% of employers across the country. We rank in the top 5% of health care companies in client satisfaction. We are a growing organization full of opportunities for you to advance your career, having filled over 30%+ of our open positions with internal applicants.

POSITION SUMMARY
At HealthSmart, the role of PBM (Pharmacy Benefit Management) Operations Supervisor will provide direction and supervision to the client operations team supporting clients, brokers, members and our internal partners to foster client retention, process improvement and business development to aid in achieving HealthSmartRx Solutions profitability and client retention goals.

Location

• Remote

Required Skills and Experience

• Customer client experience in healthcare environment
• Working experience in PBM, Pharmacy Benefit Management
• Successful track record of supporting team members, executives, clients, and members
• 2 years' experience leading a team
• Experience monitoring and auditing workflows to improve services

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Key Responsibilities

• Team scheduling and attendance
• Reporting
• Next level escalations
• Monitor PA volumes and turnaround time
• Monitor group email request response and resolution
• Participate in client/vendor/internal conference calls as needed
• Assist with client implementations as needed
• Client portal training
• Account management database management (RIF)
• Assist Client Service Executives with researching client issues including, but not limited to, eligibility, claims, accumulators, etc
• All other duties as assigned

Performance Management

• Develop and maintain process SOP's
• Develop and monitor team goals
• Develop training materials
• Mentor and coach client operations team, training
• Monitor productivity and efficiency; workload, phone, time management

Quality

• Audit team workflow processes
• Call monitoring
• Compliance coaching
• Monitor phone queue reporting to ensure service level goals are met
• Proactively identify trends and modify ineffective processes to avoid service issues

Physical Requirements

• While performing the duties of this job, the employee is frequently required to sit, talk, and hear
• The employee is occasionally required to walk; use hands and fingers to feel, handle, or operate objects, tools, or controls; and reach with hands and arms
• The employee must occasionally lift and/or move up to 30 pounds
• Specific vision abilities required by this job include close vision and the ability to adjust focus
• The work is performed primarily in a remote setting
• The noise level in the work environment is moderate

The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position

HealthSmart provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.