Group Manager, Eligibility

Job ID: 6362

Posting Title: Group Manager, Eligibility

Working Location: Illinois-Bannockburn

Employment Status: Full-Time Regular

Required Experience: 4 years

Required Education: Bachelors Degree

Travel Required: 5%



Job Description:

Walgreens Health Services (WHS) is a division of the 104-year-old Walgreen Company, The Pharmacy America Trusts. Headquartered in Deerfield, Illinois, WHS is a multifaceted healthcare company offering a range of products and services. Our integrated approach to pharmacy services includes Home Care Services, Pharmacy Benefit Management, Mail Service, and Specialty Pharmacy. Walgreens Health Services is an equal opportunity employer and welcomes individuals of diverse talents and backgrounds. WHS promotes and supports a drug-free and smoke-free workplace.



Essential Skills:

Manages a team of professionals responsible for the maintenance and accuracy of client eligibility data within PBS, the claims processing system. Responsible for developing and implementing quality assurance processes for the client eligibility setup, as well as manual and automated eligibility entry. Establishes performance guidelines and communicates metrics for Eligibility team, and develops procedures to ensure that guidelines are met. Maintains comprehensive knowledge of enrollment processes and system capabilities and acts as internal subject matter expert for new product development and sales teams. Works with Manager of Print and Member Materials to ensure that enrollment data interfaces seamlessly with ID card print control systems.
Maintains and modifies department staffing models and contributes to budget process as it relates to headcount needs. Responsible for following established procedures and working with Human Resources and Recruitment, for personnel management, interviewing, hiring, payroll, time off, and termination. Demonstrates and teaches proper business ethics through following of all company procedures and ethical guidelines.



Qualifications:

Previous supervisory experience required; 4+ years of PBM, chain pharmacy, health plan operations, or client service experience; 2+ years of Eligibility processing experience preferred; Position history that demonstrates increasing responsibilities, including: budgeting, hiring, performance evaluation, policies and procedures, quality management, and presentation; Bachelors degree, or equivalent experience in health care related field preferred.