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Sr. Manager, Account Operations - Prior Authorization Network

$97.9k - $163.1k

McKesson

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.CoverMyMeds is seeking a Sr Manager, Account Operations - PA Network to lead a specialized account operations team supporting pharmacy clients across the Prior Authorization Network. This leader will provide oversight, coaching, and operational direction for a team of eight account operations managers responsible for customer integrations, contract management, program performance, and post-go-live support. The role will support pharmacy clients, including national and regional chains, retail pharmacy clients, software vendor platforms, and pharmacy management systems, through prior authorization services via the CMM platform and PA services connected through the RelayHealth switch.This role is responsible for building consistent, scalable account operations practices that improve customer experience, program and contract accuracy, cross-functional collaboration, and business outcomes. The Sr Manager will work closely with senior management and partner teams across Commercial, Implementations, Product, Development/Engineering, Patient Service Center Operations, Finance, and other functions to support customer success and operational excellence.What You’ll Do:Lead, coach, and develop a team of account operations professionals responsible for customer integrations, post-go-live contract management, program health, and client supportUse knowledge of the client, business, healthcare, and pharmacy industries to help the team improve client relationships, client satisfaction, survey results, and client and company financial performance indicatorsFoster a culture of continuous improvement and operational excellence by establishing best practices, standard processes, and repeatable customer experiences across customer engagement, program tracking, program health management, and contract accuracyPartner cross-functionally with Commercial, Implementations, Product, Development/Engineering, Patient Service Center Operations, Finance, and other teams to drive successful customer outcomes and support collaborative executionEstablish and communicate common goals and direction for the team, lead problem solving, champion ideas and innovations, and identify opportunities to automate or optimize processesSupport consultative client partnerships, including escalation management, difficult client conversations, account planning, Salesforce activity, contract adherence, billing alignment, and program performanceHelp the team summarize and interpret data to identify program performance trends, potential revenue opportunities, and client benefitsLead through change while supporting team members through evolving priorities, process improvements, and organizational changesFoster an inclusive, collaborative, and accountable team environment that supports hiring, training, development, performance feedback, recognition, and succession planningServe as a working manager when needed to support customers and programs during implementation and hyper careBasic Requirements:Degree or equivalent experience, and typically requires 9+ years of professional experience and 1+ years of supervisory and/or management experienceExperience in customer support, account operations, account management, customer success, client relationship management, or a related customer-facing business operations roleExperience leading, coaching, mentoring, or directing the work of others, including supporting performance, priorities, problem solving, and team executionExperience managing customer programs, implementations, complex client issues, contract obligations, program health, or post-go-live operational support.Experience working with cross-functional teams to deliver customer outcomes, resolve issues, and improve business processesStrong project management, process improvement, problem-solving, and prioritization skills in a fast-paced environment with multiple concurrent deliverablesAbility to communicate with tact, professionalism, and credibility when working through challenging, urgent, or escalated customer issuesPreferred Skills/Experience:Pharmacy industry experience, including pharmacy operations, pharmacy networks, claims adjudication, prior authorization, reimbursement, drug distribution and dispense, or related healthcare technology experienceKnowledge of pharmacy market dynamics, NCPDP standards, claims adjudication standards, prior authorization services, or pharmacy management systemsExperience supporting pharmacy clients, including retail pharmacy clients, national or regional chains, software vendor platforms, or pharmacy management systemsExperience using data to summarize program performance, identify trends, tell a business story, and uncover opportunities for additional client or business valueExperience with Salesforce or similar CRM/account planning toolsExperience leading teams through change, process improvement, or operational transformationAbility to think creatively, express ideas with confidence, and identify opportunities to improve, automate, or optimize processesWe are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.Our Base Pay Range for this position$97,900 - $163,100McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.McKesson job postings are posted on our career site: careers.mckesson.com.McKesson is an Equal Opportunity EmployerMcKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States) View email address on click.appcast.io or (Canada) View email address on click.appcast.io. Resumes or CVs submitted to this email box will not be accepted.Join us at McKesson!SummaryLocation: USA, OH, Columbus; Irving, TX, USA - 6555 North State Highway 161 (P001); Atlanta, GA, USA - 2 National Data Plaza NE (8821); Alpharetta, GA, USA - 1110 Sanctuary (C099)Type: Full time

Vacancy posted 11 hours ago
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