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Director, Account Management - Pharmacy

Company: Conduent Incorporated
Location: Jefferson City
Posted on: June 7, 2021

Job Description:

About Conduent Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Job Description Director, Account Management Job Description: Seasoned RN or Pharmacist Healthcare leader required to effectively manage and direct day to day operations of a Medicaid Fiscal Agent Account. Must be licensed as a Pharmacist in Missouri. Functionally manages customer relations, prior authorizations processing, call centers, system maintenance and operations, contract compliance and management, finances and budget, human relations and communication. This position is in Jefferson City, MO. Relocation will be considered for the right candidate. Detailed functions include: Ensure compliance with contractual standards, Company policy, State and Federal laws and regulations maintaining and monitoring staffing levels Manages the process for developing, testing and placing into production new pharmacy, psychology and medical clinical and fiscal editing criteria. Prioritizes development and conducts communications with the client. Monitors contract performance and cost saving goals of client. Proactively recommends additional therapeutic and fiscal areas to address. Meet Profit and Loss targets monthly, quarterly, annually Primary contact for the client Responsible for client satisfaction through Net Promoter Score (NPS). Manages internal and/or external delivery teams directly or through matrix organization. Manage multiple sub-contractors Participates in formulating and administering company policies and developing long-range goals and objectives Identifies and capitalizes on opportunities for new business and expansion of existing business Manages potential risk and issues, minimizes and manages vulnerabilities and executes contingency/correction plans Directs and coordinates activities of account functions or business operations for which responsibility is delegated to further attainment of goals and objectives Manages using long-term view and builds a shared vision with others, acts a catalyst of organization change. Influences others, translates vision into action Reviews analysis of activities, cost, operations, and forecast date to determine business progress toward stated goals and objectives Selects, develops, motivates, and deploys staff of highly competent managerial and professional employees to effectively support the functions of the business operation Responsible for revenue in excess of 15M. All other duties as assigned Education and Experience: Education: A Pharm. D. degree in pharmacy or a Bachelor of Science in Nursing Degree is required. Licensure: Must be licensed as a Pharmacist in Missouri. Minimum 5 years of senior level operations/technical management experience 5+ years' health insurance payer experience required, Medicaid preferred. 5+ years' experience managing call centers, claims, or other healthcare operations area, including staff and P&L experience. Analytical and problem-solving experience required. Excellent communication skills (written and oral) required. Knowledge of the principles of cost benefit analysis. Proficiency using Microsoft Office (Word, Excel, PowerPoint, Visio) and Microsoft Outlook. Payer experience desired Position is remote due to COVID but will eventually be an office based role a couple days a week Relocation Assistance is provided if living outside of Missouri Closing Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form. You may also click here to access Conduent's ADAAA Accommodation Policy.

Keywords: Conduent Incorporated, Jefferson City , Director, Account Management - Pharmacy, Other , Jefferson City, Missouri

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