Specialist II, Pharmacy Relations

Navitus Health Solutions, LLC; Deutschland; Remote; EUR 42.000 - 50.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental insurance

Vision insurance

Paid time off

Parental leave

Holiday pay

401K match

Adoption assistance

Flexible Spending Account

Educational assistance

Professional membership assistance

Referral bonus

Zusammenfassung

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team. The role focuses on executing contracts with pharmacies, responding to inquiries, and maintaining contracted networks.

The position requires experience in a pharmacy or interfacing with pharmacies, preferably in healthcare, with strong written and verbal communication skills. This is a remote opportunity with standard M-F hours.

Qualifikationen

• College or 2-year technical degree or equivalent experience preferred.
• Certified Pharmacy Technician preferred.
• 3 years business-setting experience is desirable.
• Retail pharmacy or managed care experience is helpful.
• Experience analyzing medical/pharmacy claims beneficial.
• Proficient in Microsoft Office and related software.
• Adherence to compliance program objectives.
• Ability to interact cooperatively with others.

Aufgaben

• Manage pharmacy contracting with independents and select chains; assist in network negotiations.
• Review contract setups for compliance with network agreements.
• Support pharmacy audits and network compliance initiatives.
• Research and resolve claim issues and inquiries from pharmacies.
• Respond to inquiries and communications with network pharmacies.
• Develop and distribute pharmacy communications to meet internal and client needs.
• Monitor and report on pharmacy network regulatory compliance.
• Handle redlines and maintenance of network functions and claims processing.

Kenntnisse

Pharmacy claims analysis

Microsoft Office

Compliance programs

Communication

Interpersonal collaboration

Retail pharmacy experience

Ausbildung

College or 2-year technical degree

Certified Pharmacy Technician

Jobbeschreibung

Company

Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $48,728.61 - USD $58,010.26 /Yr.

STAR Bonus % (At Risk Maximum)

5.00 - Salaried Non-Management except pharmacists

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm

Remote Work Notification

ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

Overview

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team!

The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries, and completing the tactical and operational tasks required to maintain contracted pharmacy networks.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Manage pharmacy contracting process with independent pharmacies and select chains/PSAOs and assist management with network negotiations; inclusive of redline reviews
• Review pharmacy contract setup to ensure compliance with pharmacy network agreements
• Support pharmacy audits and network compliance initiatives
• Research and problem solve to resolve claim issues and concerns
• Respond to and track requests, inquiries, and communications with network pharmacies
• Develop, review, and distribute pharmacy communications to meet internal and client requests
• Monitor, track, and report pharmacy compliance with guiding government regulations and internal policies and procedures
• Reviews and responds to independent pharmacy redlines; with little to no input from senior leadership
• Responsible for all aspects of maintenance related to pharmacy network functions, such as, network plan design builds, quality assurance measures and claims processing in general
• Other duties as assigned

Qualifications

What our team expects from you?

• College or 2-year Technical Degree or equivalent experience is preferred. Advanced technical education a plus
• Certified Pharmacy Technician preferred
• 3 years business-setting experience
• Retail pharmacy experience or experience in a managed care pharmacy setting desired
• Prior experience analyzing medical and/or pharmacy claims or credentials are highly desired
• Proficient in Microsoft Office and industry related software
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program -- up to $750!

#LI-Remote

Location : Address

Remote

Location : Country

US