About the role
Company Overview
Join us on our mission to elevate customer experiences for people around the world. As a member of the Everise family, you will be part of a global experience company that believes in being people-first, celebrating diversity and incubating innovation. Our dedication to our purpose and people is being recognized by our employees and the industry. Our 4.6/5 rating on Glassdoor and our shiny, growing wall of Best Place to Work awards is a testament to our investment in our culture. Through the power of diversity, we celebrate all cultures for their uniqueness and strengths. With 13 centers around the world and a robust work at home program, we believe great things happen when we work with people who think differently from us. Find a job you’ll love today!
Essential Functions
- Direct, coach, and develop team members through regular 1:1 meetings.
- Complete performance reviews, coaching documentation, and corrective actions.
- Manage staffing, schedules, queue performance, and workload balancing.
- Review KPIs including Quality, AHT, Productivity, Attendance, and SLA.
- Identify training opportunities and partner with Learning & Development.
- Handle escalated member, provider, and client concerns.
- Monitor daily operational performance against SLA, productivity, quality, and schedule adherence goals.
- Ensure compliance with HIPAA, CMS, state board of pharmacy requirements, and internal policies.
- Use reporting to identify trends and recommend corrective actions.
- Partner with Workforce Management, Training, Operations, and Leadership.
- Support continuous improvement initiatives and standardization efforts.
- Maintain documentation and confidentiality standards.
- Participate in calibration sessions and business meetings.
- Lead or support special projects as assigned.
- Support non-clinical prescription processing and participant service workflows.
Knowledge, Skills, and Abilities
- Strong written and verbal communication.
- Leadership and relationship-building skills.
- Critical thinking and analytical ability.
- Ability to prioritize competing demands.
- Experience working across multiple pharmacy systems.
- Proficiency with Microsoft Office, particularly Excel.
- Ability to maintain confidentiality.
Minimum Qualifications
- High School Diploma or GED.
- Three or more years of relevant PBM, specialty pharmacy, participant services, or healthcare operations experience.
- Previous leadership or quality experience appropriate to the role.
Preferred Qualifications
- Active Arizona or Texas Pharmacy Technician License.
- National Pharmacy Technician Certification (CPhT).
- PBM or specialty pharmacy experience.
- Call center healthcare operations experience.
- Lean/Six Sigma or process improvement exposure.
- Experience presenting operational metrics.
Performance Measures
- Quality audit performance
- Productivity and throughput
- Service Level (SLA) attainment
- Attendance and schedule adherence
- Compliance and documentation accuracy
- Customer experience
- Coaching effectiveness and continuous improvement
Work Environment & Physical Requirements
- Fast-paced, computer-based participant services environment requiring prolonged sitting, frequent computer use, telephone communication, and the ability to manage multiple priorities while maintaining accuracy and professionalism.
- If you’ve got the skills to succeed and the motivation to make it happen, we look forward to hearing from you.