ProCare Rx

Director, Implementations & Benefit Quality

ProCare Rx  •  Gainesville, GA (Onsite)  •  4 hours ago
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Job Description

Responsibilities include but are not limited to:

  • Manage implementation and business quality assurance team members.
  • Direct complex integration and implementation projects while meeting critical milestones.
  • Delegate tasks for primary benefit design set up for new plans and clients to implementation team members.
  • Serve as primary point of contact for new large clients through the implementation phase.
  • Facilitate conference calls and communication between clients and other internal departments for more complex aspects of specialized benefit requirements.
  • Identify project bottlenecks and deploy strategies to ensure timelines are met.
  • Maintain detailed documentation supporting all aspects of implementation.
  • Balance competing priorities for the implementation team.
  • Travel to client locations as necessary to provide implementation “go live” support.
  • Ensures all claims processing edits, pricing, messaging and configuration meets the business requirements of the client.

Qualifications:

  • 7 years of PBM or healthcare implementation experience
  • Project management skills
  • Prior management experience
  • Excellent organizational and time management skills
  • Excellent telephone etiquette, verbal and written communication skills
  • Excellent presentation skills to interface with clients and prospects.
  • Proficient in Microsoft Office applications
  • Ability to analyze, interpret and develop solutions effectively
  • High level of professionalism

Education Requirements:

  • Bachelor's degree preferred

I confirm that I meet or exceed the educational and experience requirements set forth herein.

ProCare Rx

About ProCare Rx

ProCare Rx, a privately held leader in pharmacy claims processing, pharmacy benefit management (PBM), and clinical program design, has been empowering healthcare organizations since 1988. With offices in the U.S. and Puerto Rico, we provide customizable, cost-effective solutions tailored to the unique needs of self-insured employer groups, TPAs, pharmacies, health plans/systems, unions, and other industry leaders. Our commitment to ethical, transparent operations and long-lasting partnerships has made us a trusted partner in optimizing pharmacy benefits and clinical performance. To learn more about how ProCare Rx is bridging the gap between cost savings and clinical innovation, visit http://www.ProCareRX.com

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Unknown
Year Founded
Unknown
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