Insurance Benefits Programs Lead

CSI Pharmacy, LLC; Plano (TX); On-site; USD 85,000 - 95,000; Full time

Job summary

CSI Pharmacy, LLC in Plano, TX is seeking a Medical Insurance Benefits Manager to lead the Medical Insurance Benefits Team and ensure work is distributed and trained effectively. This on-site role focuses on training, process development, and monitoring the insurance verification queue.

The position requires data collection, fact finding, and problem-solving with clinical staff support. Salary ranges from $85,000 to $95,000 DOE; schedule Monday–Friday, 8:30am–5:00pm.

Qualifications

• High school diploma or GED required; college/technical training preferred.
• Minimum 5 years in pharmacy or healthcare environment.
• Minimum 3 years of team lead or management experience preferred.
• Medical and pharmacy insurance experience preferred; Medicare/Medicaid knowledge helpful.

Responsibilities

• Lead Medical Insurance Benefits Specialists; ensure workloads and training are completed.
• Develop training guides for the team and collaborate with Referral Coordinators.
• Manage authorizations, run benefits documentation, and monitor status daily.
• Perform patient chart audits and maintain current files per CSI policies.
• Provide accurate data entry into the electronic medical record.
• Coordinate with insurance and care teams to optimize referrals and authorizations.

Skills

Analytical thinking

Problem solving

Attention to detail

Multi-tasking

Professional communication

Education

High School Diploma or GED

College/technical college preferred

Tools

Microsoft Excel

Outlook

Teams

Word

Job description

CSI Pharmacy, LLC in Plano, TX is seeking a Medical Insurance Benefits Manager to lead the Medical Insurance Benefits Team and ensure work is distributed and trained effectively. This on-site role focuses on training, process development, and monitoring the insurance verification queue.

The position requires data collection, fact finding, and problem-solving with clinical staff support. Salary ranges from $85,000 to $95,000 DOE; schedule Monday–Friday, 8:30am–5:00pm.