Remote Clinical Hub Team Lead

BrightSpring Health Services; Louisville (KY); Remote; USD 65,000 - 90,000; Full time

Job summary

BrightSpring Health Services, via PharMerica, is seeking a Clinical Hub Supervisor in Louisville, KY. The role leads a team of representatives, ensures accurate handling of pharmacy and medical billing tasks, and maintains service levels for our clients.

Remote work May reside anywhere in the Continental USA; must align with Central Time Zone hours. Schedule is Monday–Friday 11am–7:30pm CT. Requires associate degree and four+ years of relevant experience, with a Bachelor's preferred.

Qualifications

• Required: Associate degree.
• Desired: Bachelor's Degree.
• Minimum experience: four plus years in pharmacy or medical billing with emphasis in prior authorizations.

Responsibilities

• Supervises Representatives and manages their performance in accordance with departmental and company policy.
• Scores side-by-sides and recorded calls and discusses feedback with Representatives.
• Participates in call calibration sessions.
• Walks the floor to observe and provide information and feedback.
• Handles escalated calls with Representatives listening.
• Partners with other business units such as Pharmacy, Customer Service, Account Management, to ensure delivery of quality and timely customer service.
• Coordinates team schedules to maximize operational efficiencies.
• Monitors volumes for the pend queue, RX Allow, fax to PDP, groups, to ensure timely processing of all forms relating to prior authorizations and consults with Manager/Director.
• Reviews call analysis with Manager & Director.
• Partners with Account Management, Manager, and Director to address customer needs and escalations.
• Performs other tasks as assigned.

Education

Associate degree

Bachelor's Degree

Job description

BrightSpring Health Services, via PharMerica, is seeking a Clinical Hub Supervisor in Louisville, KY. The role leads a team of representatives, ensures accurate handling of pharmacy and medical billing tasks, and maintains service levels for our clients.

Remote work May reside anywhere in the Continental USA; must align with Central Time Zone hours. Schedule is Monday–Friday 11am–7:30pm CT. Requires associate degree and four+ years of relevant experience, with a Bachelor's preferred.