Specialist, Pharmacy Relations
New
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NavitusPharmacy benefits
Navitus is only able to offer remote work to 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, Wisconsin.Full-TimeMiddle
Salary22.2 - 26.43 USD per hour
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Job Details
- Experience
- At least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare; 1-3 years of successful experience in a customer service role.
- Required Skills
- Microsoft OfficeCustomer service
Requirements
- Have at least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts; healthcare experience is preferred.
- Have 1-3 years of successful experience in a customer service role.
- A college or 2-year technical degree or equivalent experience is preferred.
- A Certified Pharmacy Technician license is preferred.
- Knowledge of the PBM or healthcare industry is preferred.
- Have PC skills, including Microsoft Office, email, internet, and other applications as required.
- Participate in, adhere to, and support compliance program objectives.
- Interact cooperatively and respectfully with other employees.
Responsibilities
- Make decisions about resolving pharmacy issues.
- Establish and maintain contracts with pharmacy providers.
- Coordinate contract submission, receipt, tracking, and processing between Navitus and providers.
- Enter information accurately and maintain the contract database.
- Generate reports on network performance and monitor claims accuracy throughout contract terms.
- Create networks in the claims processing system based on contract terms and perform quality reviews.
- Assist with intricate pharmacy provider issues and complaints.
- Coordinate pharmacy network communications, including gathering content, distributing information to provider partners, and tracking response metrics.
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