Pharmacy Relations Specialist

This is a fully remote position, open to applicants in Alabama, +34 more locations.

📋 Description

• Make decisions to resolve pharmacy-related issues.

• Establish and maintain agreements with pharmacy providers.

• Facilitate the submission, receipt, tracking, and processing flow of contracts between Navitus and providers.

• Accurately input information and maintain the contract database.

• Generate performance reports for the network to monitor claims accuracy during the contract period.

• Create networks according to contract terms within the claims processing system and ensure accuracy through quality reviews.

• Assist in addressing complex issues and complaints from pharmacy providers.

• Coordinate communication efforts within the pharmacy network, including content collection, information dissemination to provider partners through appropriate channels, and tracking response metrics.

• Undertake other responsibilities as assigned.

⛳️ Requirements

• A minimum of 3 years of successful experience working in a pharmacy or directly interfacing with pharmacies or accounts, ideally within the healthcare sector.

• A college degree or a 2-year Technical Degree, or equivalent experience is preferred.

• Advanced technical education is a plus.

• A Certified Pharmacy Technician license is preferred.

• 1-3 years of successful experience in a customer service capacity.

• Familiarity with the PBM or healthcare industry is preferred.

• Proficient in PC skills: Microsoft Office, Email, Internet, and other necessary applications.

• Participate in, adhere to, and support the objectives of the compliance program.

• Ability to consistently interact cooperatively and respectfully with colleagues.

• Candidates must be residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, or Wisconsin.

🏝️ Benefits

• Comprehensive industry-leading benefits for Health, Dental, and Vision insurance.

• 20 days of paid time off.

• 4 weeks of paid parental leave.

• 9 paid holidays.

• 401K company match of up to 5% with no vesting requirement.

• Adoption Assistance Program.

• Flexible Spending Account.

• Educational Assistance Plan and support for Professional Memberships.

• Referral Bonus Program offering up to $750!