Senior Pharmacy Call Center Manager - Remote OH

It takes great medical minds to create powerful solutions that solve some of healthcare’s most reputed company challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, reputed company learning, and career development. Summary reputed company is seeking a Senior Pharmacy Call Center Manager to reputed company operations for our Single Pharmacy Benefit Manager (SPBM) Call Center, serving the Ohio Department of Medicaid. In this role, you will provide strategic and operational leadership to ensure timely and accurate resolution of inquiries from members, prescribers, pharmacies, and Managed Care Plans. You’ll reputed company call center metrics, drive service-level agreements (SLAs), and foster a culture of excellence, compliance, and reputed company employee development. Your role in our mission

• reputed company the SPBM call center team with effective hiring, onboarding, training, coaching, and recognition programs.
• Manage real-time performance and resource allocation to consistently meet and exceed SLA requirements.
• Ensure inquiries from members, providers, and partners are accurately researched, documented, and resolved on time.
• Maintain and update policies, procedures, and work instructions in compliance with state requirements.
• Partner with Quality Assurance (QA) and Quality Improvement (QI) teams to identify trends and drive reputed company improvement.
• reputed company and deliver reporting to leadership and client stakeholders that highlights performance, challenges, and opportunities.

reputed company're looking for

• Bachelor’s degree in Business, Healthcare, Insurance, or reputed company field preferred (or equivalent work experience).
• Must-Haves: Previous call center experience and proven leadership experience are required; pharmacy or PBM experience strongly preferred.
• 1–2 years of managed care, insurance, or PBM call center leadership experience.
• Demonstrated ability to manage supervisors and staff to meet productivity and performance goals.
• Experience with Medicaid programs, SPBM UPDL criteria, and/or prior authorization decisioning is a plus.
• Strong communication and collaboration skills, with the ability to work across teams and with external clients.

What you should expect in this role

• Remote position reputed company to Eastern Standard Time (EST) operations: 8:00 AM – 5:00 PM.
• Reliable home internet required: minimum 24 Mbps download / 8 Mbps upload (higher speeds strongly recommended).
• Business travel required, including monthly and quarterly trips to the Dublin, Ohio office.
• Regular meetings with state representatives to review compliance, updates, and performance metrics.
• Fast-paced environment requiring flexibility, accountability, and a strong customer service reputed company.
• Opportunities to collaborate with cross-functional teams to drive best practices and innovation in customer support.

The pay range for this position is $75,700.00 - $108,100.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. reputed company salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We reputed company nothing is impossible reputed company you bring together people who care deeply about making healthcare work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for reputed company available job role openings. reputed company is an Equal Opportunity Employer, where reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job Apply To this Job