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  • Pittsburgh, PA, US
    Req #374
    Monday, July 22, 2019
    We are currently seeking candidates for our open Operations Director opportunity in our Green Tree, PA office. Under the general direction of the Sr. VP of HUB Operations, the Director is generally responsible for the operations business unit.  The Director may also head-up a functional area. This position works with senior management to help create and implement strategic goals that are designed to grow the business. The Director oversees a management staff and provides guidance on strategic an ... More
  • Hanover, NJ, US
    Req #395
    Friday, July 19, 2019
    With tremendous growth in our Patient Access and Affordability business we are looking to hire a seasoned Customer Care Manager to help lead our Whippany, NJ Call Center.   This is great opportunity to roll up your sleeves and be a hands-on manager while still having exposure to client facing issues as well as helping grow an already very successful business line. Our Customer Contact Center is a highly concierge 'white glove' service team that manages the patient experience from start to ... More
  • Hanover, NJ, US
    Req #396
    Friday, July 19, 2019
    The Supervisor, Contact Center, under the direction of the Manager, is responsible for supervising a diverse team of 8-15 Associates processing claims and answering inbound phone inquiries (and making outbound phone requests for information) across a suite of clients and products, focusing on customer experience and world-class service expectations.In addition, he or she is responsible for building and maintaining a positive work environment. Works across departments to provide support to his/he ... More
  • Bridgeville, PA, US
    Req #382
    Thursday, July 18, 2019
    This role establishes effective communication with patients/families, physicians, third party payors, pharmaceutical manufacturer representatives. Represents the company in a competent, professional and responsive manner. Interacts with the operations and quality team consistent with team-building and professional culture established by the company. Coordinates the care of patient to assure access to pharmacy products and services. Maintains high quality customer service standards in compli ... More
  • Bridgeville, PA, US
    Req #383
    Thursday, July 18, 2019
    Responsible for handling customer concerns through research and communication with involved departments / Service Level Agreements and client products. Partner with internal and external departments and staff to achieve resolution for concerns. Manage database for cases. Responsible for timely case resolution and maintaining compliance. Exhibit a high level of case management expertise and demonstrated leadership skills. Utilize care coordination to address patient and physician concerns; o ... More
  • Bridgeville, PA, US
    Req #384
    Thursday, July 18, 2019
    The Quality Control Specialist serves as a liaison between customer service and quality to ensure that company and client quality control plans, standards, and expectations are being adhered to in the function of the customer service and related teams. The incumbent will be required document all of his or her work according to established SOPs, Work Instructions and written/verbal instruction of superiors. The Quality Control Specialist will perform work under the direction and supervisi ... More
  • Bridgeville, PA, US
    Req #385
    Thursday, July 18, 2019
    Responsible for direct supervision and leadership of a team of case management employees in our Benefit Verification Department in a pharmaceutical HUB environment. Accountable for member/provider satisfaction, retention, and growth by efficiently delivering competitive services to customers, member, and providers.   Essential Functions:   Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork to deliver excellen ... More
  • Bridgeville, PA, US
    Req #386
    Thursday, July 18, 2019
    This position serves as the primary client contact for program(s) to which employee is assigned. Extensive interaction with internal and external customers. Significant participation in strategic planning. Review contracts and is accountable for proper execution of contract terms. Works with Senior Operations and Account Management to develop policies, procedures and the business work plan for assigned program(s).   Essential Functions:   Interface with key cl ... More
  • Bridgeville, PA, US
    Req #344
    Thursday, July 18, 2019
    This position serves as the primary client contact for program(s) to which employee is assigned. Extensive interaction with internal and external customers. Significant participation in strategic planning. Review contracts and is accountable for proper execution of contract terms. Works with Senior Operations and Account Management to develop policies, procedures and the business work plan for assigned program(s). Essential Functions: Interface with key clients at all levels within the organizat ... More
  • Moon, PA, US
    Req #341
    Thursday, July 18, 2019
    This position serves as the primary client contact for program(s) to which employee is assigned. Extensive interaction with internal and external customers. Significant participation in strategic planning. Review contracts and is accountable for proper execution of contract terms. Works with Senior Operations and Account Management to develop policies, procedures and the business work plan for assigned program(s). Essential Functions: Interface with key clients at all levels within the organizat ... More
  • Moon, PA, US
    Req #345
    Wednesday, July 17, 2019
    Reporting to the Director, Program Management, the Data Analyst will be responsible for supporting client and HUB operations with a variety of data and analytical services. The incumbentwill use complex data analytic techniques to aggregate data into meaningful and impactful visual representations to be provide to client contacts at planned intervals and to fulfill ad hoc requests. The incumbent will also be responsible for performing standard statistical analyses, presenting results,and devel ... More
  • Hanover, NJ, US
    Req #334
    Wednesday, July 17, 2019
    The Adjudication Analyst is responsible for various operational aspects of implementation, support, analysis, and quality assurance in the adjudication network administration of ConnectiveRx’s affordability programs. The candidate is responsible for program implementation and revisions, assisting with monitoring the pharmacy network, issue resolution and quality checks.   Essential Duties & Responsibilities Perform quality work within deadlines with or without direct supervision. ... More
  • Hanover, NJ, US
    Req #234
    Monday, July 15, 2019
    You will be a part of the team to manage our virtualized systems and support a migration to the cloud. You need to follow best practices, operational optimization and help build an infrastructure that aligns with industry security standards. Your role also ensures proper monitoring tools are in place and the environment is highly available and scalable to support growth of our application footprint at a moment's notice. You will also work closely with the development teams to learn about our e ... More
  • Hanover, NJ, US
    Req #300
    Wednesday, July 10, 2019
    General Description/Position Overview: The Analyst, Program Management will support the Directors of Program Management with the development and implementation of all accounts, brands and manage simple implementations.  Essential Duties/Responsibilities Exercises judgement and independent thinking in coordinating and driving deliverables for on-going program implementation and management to achieve flawless execution. Coordinates activities and communicates status among ... More
  • Hanover, NJ, US
    Req #328
    Wednesday, July 10, 2019
    Provide initial setup and ongoing support to ConnectiveRx clients and internal users for systems and applications that pertain to electronic data processes. Processes include data mapping/manipulation/importing/exporting from various sources in various formats.   Essential Functions Assisting customers' medical offices register ConnectiveRx as a payor and register to receive ERA (electronic remittance advice) transactions. Monitoring daily communication/files processes ... More
  • Moon, PA, US
    Req #343
    Tuesday, July 9, 2019
    This role establishes effective communication with patients/families, physicians, third party payors, pharmaceutical manufacturer representatives. Represents the company in a competent, professional and responsive manner. Interacts with the operations and quality team consistent with team-building and professional culture established by the company. Coordinates the care of patient to assure access to pharmacy products and services. Maintains high quality customer service standards in compli ... More
  • Bridgeville, PA, US
    Req #310
    Thursday, June 27, 2019
    Under limited direction of the Director of Software Development, the incumbent will work on an agile team developing innovative healthcare technology solutions that remove barriers for patients and physicians for specialty pharmaceutical products. Essential Functions Works directly with customers to understand their issues and needs, define changes to production systems, partner with other developers and designers including development teams outside the company, iterate t ... More
  • Bridgeville, PA, US
    Req #311
    Thursday, June 27, 2019
    The ideal candidate has a background in Quality Assurance with a strong drive to ensure that products released from ConnectiveRx adhere to current best practice standards and meet customer expectations.  This position will require interaction with other members of the quality team as well as developers, project managers, customer support staff and working directly with the customer to ensure that requirements are being adequately tested.   Essential Functions:   ... More
  • Bridgeville, PA, US
    Req #295
    Thursday, June 27, 2019
                                                                                                                                       The Support Analyst role is to support and tune software/hardware systems and network infrastructures to ensure high levels of availability and security of all business units within ConnectiveRx. ESSENTIAL FUNCTIONS Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions As ... More
  • Moon, PA, US
    Req #238
    Thursday, June 27, 2019
    The primary purpose of this position is to engage in and maintain regular communication with physicians, medical office staff, outside sales representatives and internal medical staff, for the purpose of supporting, documenting and coordinating patient hub services. This communication will routinely be in the form of inbound phone calls, issue ticket management, and live chat. Team members will work interactively with patients and their healthcare providers to complete enrollment activities ... More
  • Hanover, NJ, US
    Req #225
    Friday, June 21, 2019
    Provide input to the Director, Program Management to develop the strategy and budgets for the Company’s larger more complex program accounts/brands to ensure quality implementation, ongoing management of program terms and conditions and high levels of customer satisfaction. The implementation process includes analyzing the customer business operations while offering best practices that are compatible with the ConnectiveRx solution. The Sr. Manager, Program Management will interface with other fu ... More
  • Hanover, NJ, US
    Req #321
    Thursday, June 20, 2019
    The dedicated Pharmacy Concierge Specialist, under the direction of the Program Manager, is responsible for assisting pharmacies, physicians, and patients during the coordination of benefit process when a prior authorization is required. The Dedicated Pharmacy Concierge Specialist primarily offers guidance to pharmacists who require assistance processing a claim within the pharmacy’s adjudication system. The Pharmacy Concierge Specialist troubleshoots claim rejection and processing errors to en ... More
  • Hanover, NJ, US
    Req #273
    Thursday, June 20, 2019
    Job Summary: The Sr. Associate, Contact Center Quality is a role that assesses the quality of engagement / service but also influence future performance through direct and comprehensive feedback to those individuals providing said services.  This individual may have primary responsibilities for one or more of the following:  assessing quality of our customer engagements; claim reimbursement efforts. Monitors telephone calls and other communications between the patients and the Customer Car ... More
  • Hanover, NJ, US
    Req #243
    Thursday, June 20, 2019
    Job Summary: The Sr. Associate, Contact Center Quality is a role that assesses the quality of engagement / service but also influence future performance through direct and comprehensive feedback to those individuals providing said services.  This individual may have primary responsibilities for one or more of the following:  assessing quality of our customer engagements; claim reimbursement efforts. Monitors telephone calls and other communications between the patients and the Customer Care Ce ... More
  • Hanover, NJ, US
    Req #291
    Tuesday, June 18, 2019
    ConnectiveRx is looking to hire a Director, Indirect Procurement to start up, build and manage a highly scalable system of Procurement processes and tools.  This role will report directly to the CFO, collaborating with Key Business Leaders across ConnectiveRx while defining and scaling our company wide Procurement function.   The Senior Director will make a material impact through owning and driving operational efficiencies by tracking, reporting, prioritizing and measuring vendor contracts, sp ... More