Reimbursement Manager

Working at Express Scripts says something about your commitment to quality, your integrity, and desire to excel in your career. Since 1986, many outstanding people have contributed to our success as a Pharmacy Benefits Management leader and Fortune 500 company with over $15 billion in sales. Reimbursement Manager ABOUT EXPRESS SCRIPTS Working Here Says Something About You. Working at Express Scripts says something about your commitment to quality, your integrity, and desire to excel in your career. Since 1986, many outstanding people have contributed to our success as a Pharmacy Benefits Management leader and Fortune 150 company with over $15 billion in sales. Today, we're looking for more talented people to be an important part of our future and thrive in our progressive and friendly environment that recognizes and rewards achievement. Express Scripts makes the use of prescription drugs safer and more affordable for more than 50 million people across the United States and Canada. Thousands of managed-care organizations, large employers, insurance carriers, third-party administrators, labor unions, and municipal and state governments rely on the company for innovative solutions to manage pharmacy-benefit costs and enhance their members' quality of care The company is headquartered in St. Louis, MO. HealthBridge, a division of  Express Scripts is currently seeking a Reimbursement Manager located in Braintree, Massachusetts. QUALIFICATIONS:High school diploma or equivalent required. Bachelor’s degree preferred. 5-7 Years of experience in Pharma / Biotech Company, Insurance or Healthcare reimbursement required. Comprehensive knowledge of  Reimbursement Metrics, Benefit Investigations, Prior Authorizations, Alternative Funding, Co-pay Assistance and Appeals essential. Knowledge of Specialty Pharmacy, PBM or Healthcare industry preferred. 2-5 years Call Center Supervisory experience necessary. Proven leadership skills, team-orientation, and a pro active and optimistic management style essential. Ability to effectively develop subordinates necessary. Demonstrated ability to prioritize and mange work load and meet project deadlines. Ability to collect, analyze and interpret data. Excellent verbal and written communication skills inclusive of presentations skills. PC skills including Microsoft Office, the internet and data querying a must. Strong customer service, business and organizational skills crucial. Ability to travel.  RESPONSIBILITIES: Serve as the primary point of client contact as well as manage the operating activities of the client-based team.  Direct the initial implementation of program design and timelines as well as provide continuous program design improvements.  Through subordinates, responsible for ensuring that our client contract requirements are professionally, effectively and efficiently fulfilled.  Develop service operations related policies and practices to insure that client deliverables are met timely and with the highest level of customer satisfaction; Partner with Program Design and Implementation Department and New Business Development on potential, new and additional business opportunities to insure that the company’s overall goals and objectives, with respect to market growth, are attained. Develop and maintain strong business relationship with client and identify client’s current and future needs, to continuously afford HealthBridge opportunity to align and sell additional services and program enhancements in support of client needs. Work closely with Team Leaders in the development of client/employee performance standards as well as goals and objectives for their respective areas, which are clearly linked to that of the company overall. Monitor quality assurance measures, provide regular assessment and oversee implementation of improvement measures on process work flow, procedures and practices for accomplishing department objectives as well as ongoing program enhancements. Provide direction, employee development and training, performance evaluation, counseling, recommendations for salary increases, additional staffing and promotions as necessary. Conduct regular department meetings and insure that all direct reports are working in concert. Interact with Clients District Sales Managers to answer questions, resolve issues, review territory trends and coordinate training for sales representatives and site visits. Conduct client site visits and participate in the training of client sales representatives.  QUALIFIED CANDIDATES ARE ASKED TO APPLY ON LINE AT WWW.EXPRESS-SCRIPTS.COM AND FOLLOW THE CAREER LINK TO JOB # 6572 OR EMAIL YOUR RESUME TO:  Resharia.Gilliam@curascript.com OR Djakaitis@express-scripts.com EEO STATEMENT Express Scripts is an Equal Employment Opportunity Employer and will not discriminate against or harass any applicant or employee on any grounds prohibited under any federal, state or local law, including race, creed, color, religion, sex, national origin, age, disability, sexual orientation, marital status or membership in any other legally protected class.  None of the questions in our application are intended to elicit information regarding any protected characteristics, nor imply any limitation; illegal preferences or discrimination based up non-job related information or protected characteristics.