Case Manager, Client Paid Operations

Posted 1 hour ago

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About the role

  • Case Manager coordinating prescription, authorization, inventory, and specialty pharmacy operations for Cencora. Ensuring compliance, resolving technical issues, and supporting quality assurance.

Responsibilities

  • Coordinate complex prescription processing by verifying data accuracy, resolving insurance rejections, handling specialty medications, and ensuring appropriate documentation
  • Handle prior authorization activities by gathering documentation, submitting requests to payers, tracking status, and following up on approvals
  • Perform inventory activities by monitoring stock levels, processing controlled substance orders, conducting cycle counts, and handling medication recalls
  • Ensure compliance with regulations, maintain required records, prepare for audits, and follow state board guidelines
  • Handle specialty pharmacy operations by processing specialty pharmacy orders, coordinating with manufacturers, and ensuring proper storage
  • Resolve technical issues by troubleshooting pharmacy system errors, researching drug information, addressing billing discrepancies, and escalating to pharmacists
  • Perform quality assurance activities by identifying process errors, documenting incidents, and implementing corrective actions

Requirements

  • Bachelor's degree in pharmacy, life sciences, or a related field, or equivalent experience required
  • 2+ years of experience in pharmacy operations, retail, hospital, specialty, customer service, or a related field required
  • Active pharmacy technician registration or licensure as required by the state(s) of practice preferred

Benefits

  • Medical, dental, and vision care
  • Backup dependent care
  • Adoption assistance
  • Infertility coverage
  • Family building support
  • Behavioral health solutions
  • Paid parental leave
  • Paid caregiver leave
  • Training programs
  • Professional development resources
  • Mentorship programs
  • Employee resource groups
  • Volunteer activities

Job type

Full Time

Experience level

JuniorMid level

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

RemoteCanada

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