Case Manager, Client Paid Customer Operations

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
This job profile description is a standardized, non-contractual reference description and global reference tool provided for organizational consistency and talent architecture purposes across Cencora. It does not alter actual job duties, responsibilities, reporting lines, working conditions, grading, compensation, or other essential terms and conditions of employment.
Actual duties and responsibilities may vary based on business needs, local requirements, and operational practices. Where a team member's role is governed by an employment agreement, local terms and conditions, prior job description or collective bargaining agreement, those documents shall prevail in case of any inconsistency. Mandatory local laws shall also prevail.
Coordinates complex prescription processing by verifying data accuracy, resolving insurance rejections, handling specialty medications, and ensuring appropriate documentation.
Handles prior authorization activities by gathering required documentation, submitting requests to payers, tracking status, and following up on approvals.
Performs inventory activities by monitoring stock levels, processing controlled substance orders, conducting cycle counts, and handling medication recalls.
Ensures compliance with regulations by following applicable requirements, maintaining required records, preparing for audits, and adhering to state board guidelines.
Handles specialty medication operations by processing specialty pharmacy orders, coordinating with manufacturers, and ensuring proper storage requirements.
Resolves technical issues by troubleshooting pharmacy system errors, researching drug information, addressing billing discrepancies, and escalating to pharmacists when needed.
Performs quality assurance activities by identifying process errors, documenting incidents, and implementing corrective actions.
Bachelor's degree in pharmacy, life sciences, or a related field, or equivalent experience required.
2+ years of experience in pharmacy operations, retail, hospital, specialty, customer service, or a related field required.
Active pharmacy technician registration or licensure as required by the state(s) of practice preferred.
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.
Full time
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Accessibility Policy
Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.
This posting is intended to fill an existing vacancy for our Case Manager, Client Paid Customer Operations role.Affiliated Companies:Affiliated Companies: Innomar Strategies