ScottsdaleRecruiter Since 2001
the smart solution for Scottsdale jobs

Operations Specialist I

Company: Magellan Health
Location: Scottsdale
Posted on: January 8, 2021

Job Description:

This position is responsible for providing accurate, efficient and timely contract support and service for the assigned client. Operational management of assigned book of business in order to achieve profitable retention of accounts. Responsible for timely and accurate entry and maintenance of operational records and information in multiple databases. Researches and resolves questions and complaints, and ensures that information in all databases is accurate and properly configured to support operations.

  • Performs daily operation-specific duties that directly relate to the products and/or services assigned
  • Supports in the development and maintenance of a strategic business plan that fully reflects the clients program objectives and how the company provides solutions to align to those objectives and specifically guides our operational, financial, clinical and relationship initiatives. Understands the client's organizational structure and demonstrates the ability to apply this knowledge in business and retention planning for the client.
  • Ensures Service Level Agreement performance. Documents and maintains required reporting
  • Owns overall internal account satisfaction within the company as well as satisfaction with each support area particularly account management.
  • Develops and maintains multi-level relationships within client organizations which includes maintaining contract requirements. Communicates and updates account service information to appropriate internal staff. Makes presentations to the professional community to enhance the visibility and image of the company.
  • Supports the account management team to ensure performance standards are measurable and realistic to achieve and/or exceed to avoid penalties. Manages methodology, reporting and communications.
  • Ensures all Customer and Account-Facing services are provided in a consistent and timely fashion.
  • Resolves or appropriately escalates customer service issues in conjunction with operations (claims, service, and systems).
  • Coordinates with the compliance department on knowing and understanding state and federal regulations and the implication to customer impact.
  • Proactively communicates to internal and external contacts.
  • Demonstrates contract understanding and detailed knowledge of business requirements.
  • Assists in the coordination with legal to ensure contract compliance.
  • Supports the account management team in the definition of customer reports and ensures coordination with the client.
  • Prepares and supports presentations of customer reports with meaningful analytics, trending and recommendations for program improvement based on findings.
  • Supports the account management team ensuring revenue goals are met, administrative expenses are managed and segment profit targets are achieved for assigned account(s).
  • Supports up-sell and renewal activities across assigned account.
  • Effectively explains or uses technology (internally and externally) for customers.
  • Understands about the company business and operational decisions to predict impacts on customer.
  • Demonstrates knowledge of the company products and how multiple products are interdependent within the customer contract deliverables and clinical outcomes.
  • Identifies products and services that bring solutions to the customer based on a thorough understanding of the customer strategic business goals and the business needs.
  • Other duties as assigned.Other Job RequirementsResponsibilities
    • Bachelor's degree required.
    • Two years of experience in account management required.
    • May consider an additional 4 years of directly relevant experience in customer service, account management or project management in lieu of degree.
    • Ability to prioritize workload effectively within a fast-paced, time sensitive and results oriented environment.
    • Demonstrated willingness to be flexible and adaptable to changing priorities.
    • Detail oriented.
    • Effective verbal and written communication skills.
    • Proven ability to work effectively both independently and in a team based environment.
    • Strong multi-tasking and organizational skills.
    • Strong presentation skills.
    • Strong working knowledge of Microsoft Office Product Suite.
    • Willing and able to quickly learn new software applications as needed.General Job InformationTitleOperations Specialist IGrade22Work ExperienceAccount Management, PBM (Pharmacy Benefit Management)EducationA Combination of Education and Work Experience May Be Considered. (Required), Bachelors (Required)License and Certifications - RequiredLicense and Certifications - PreferredMagellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.

Keywords: Magellan Health, Scottsdale , Operations Specialist I, Other , Scottsdale, Arizona

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Other Jobs

Amazon Picker/Packer (Day Shifts)
Description: Shifts: br Overnight, Early Morning, Day, Evening, Weekend br br Location: br Tolleson, Phoenix 8181 W Roosevelt St, Phoenix, AZ 85043 br Job opportunities vary by location. We update postings (more...)
Company: Amazon
Location: Sun City West
Posted on: 01/18/2021

Description: Store Location: US-AZ-Prescott Valley Overview: As a hospitality expert, you ll get to welcome our hungry guests into the store with a smile and ring the dinner bell or, their party when (more...)
Company: Cracker Barrel
Location: Prescott Valley
Posted on: 01/18/2021

Quality Assurance Advisor I - Complaints Quality Team
Description: Purpose of JobThe individual selected for this role will support the Bank Complaints Quality Team.We are seeking a Quality Assurance Advisor I for San Antonio Home Office, Phoenix Campus, Tampa Campus, (more...)
Company: USAA
Location: Sun City
Posted on: 01/18/2021

Auto Body Painters
Description: Auto Body and Paint Professionals of All Levels Competitive Pay Rate No Flat Rate 100 company-paid
Company: Carvana
Location: Sun City
Posted on: 01/18/2021

Telecommute Loan Processor / Notary Closer
Description: Certified Mobile Notary Service is seeking for someone to fill the position of Telecommute Loan Processor/Closer to work in the U.S. only. DESCRIPTION: Manage (more...)
Company: Certified Mobile Notary Service
Location: Oro Valley
Posted on: 01/18/2021

Description: Job Description Job Summary The RN supports the vision of the Total Healing
Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: 01/18/2021

RN-ICU/Multi-Care Unit, Seasonal, Nights
Description: Job Summary Ideal for ICU nurses who want to care for their patients across the healthcare continuum, our Multi-Care Unit serves ICU, PCU and Med/Surg/Telemetry patients spanning all levels of acuity. (more...)
Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: 01/18/2021

RN-Progressive Care Unit, Nights
Description: Job Description Job Summary The RN supports the vision of the Total Healing
Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: 01/18/2021

RN-Med/Surg/Pediatrics, Seasonal, Nights
Description: Job Summary The Seasonal RN supports the vision of theTotal Healing Environment and the
Company: Yavapai Regional Medical Center
Location: Prescott Valley
Posted on: 01/18/2021

RN-Med/Surg/Tele, Seasonal
Description: Job Description Job Summary The Seasonal RN supports the vision of the
Company: Yavapai Regional Medical Center
Location: Prescott Valley
Posted on: 01/18/2021

Log In or Create An Account

Get the latest Arizona jobs by following @recnetAZ on Twitter!

Scottsdale RSS job feeds