Pharmacy Network Rep

Procare-Rx; Gainesville (GA); On-site; USD 45,000 - 60,000; Full time

Job summary

ProCare-Rx is seeking a Pharmacy Network professional in Gainesville, GA, to support day-to-day pharmacy inquiries and manage contract processes. The role includes educating pharmacies on contracts, recruiting new pharmacies to meet network adequacy, and updating multiple systems with contract and demographic data.

A strong team player with excellent communication and organizational skills is essential. Associate’s degree with health care contract experience is preferred; PBM exposure is a plus.

Qualifications

• Must be a strong team player who can adapt to a team environment and work independently in a fast-paced setting.

Responsibilities

• Provide day-to-day operational support for pharmacy questions via phone and/or
• Manage contract lifecycle from initial draft to final
• Provide written and/or verbal contractual education for pharmacies
• Target and recruit additional pharmacies to meet Plan network adequacy requirements
• Update multiple systems with contract data and demographic information
• Submit pricing changes to the Quality Assurance
• Coordinate and follow up on pharmacy network communications
• Prepare documentation for audits, as requested

Skills

Team player

Communication skills

Telephone etiquette

Highly organized

Multi-system navigation

Education

Associate’s degree

Tools

Word

Excel

Adobe

Outlook

Job description

ESSENTIAL DUTIES AND RESPONSIBLITIES

• Provide day-to-day operational support for pharmacy questions via phone and/or
• Responsible for Network Development emails; respond to requests and questions from pharmacies in a timely
• Initiate and tracks contract from initial draft to full
• Provide written and/or verbal contractual education for pharmacies as
• Target and recruit additional pharmacies to meet Plan network adequacy requirements and/or
• Participate in re-contracting efforts as required and
• Update multiple systems with contract data and demographic information, as
• Submit pricing changes to the Quality Assurance
• Work with the Credentialing Specialist to ensure credentialing standards are
• Investigate simple pharmacy claim issues, help resolve pharmacy issues and
• Communicate with the MAC/Reimbursement team as
• Prepare documentation for audits, as requested by
• Attend meetings for new plan
• Ensure deliverables are on time and meet quality levels as expected by ProCare’s internal and external
• Coordinate and follow up on pharmacy network fax/email blasts as
• Responsible for monthly import reports and weekly cascading of data through various

QUALIFICATIONS AND REQUIREMENTS

• Must be a strong team player who can adapt to a team environment and work independently in a fast-paced
• Must be able to work in multiple computer systems simultaneously on a daily
• Excellent telephone etiquette and verbal/written communication
• Must be highly organized, motivated, take initiative and possess a willingness to learn new
• Working knowledge of computers and related software applications such as Word, Excel, Adobe and Outlook a
• Must be able to review contracts and learn the differences of each contract

EDUCATION AND EXPERIENCE

Associate’s Degree with two years of experience in a health care setting working with contracts and/or provider relations preferred. PBM experience a plus.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting.

Please see the details below for your upcoming in-person interview for the Pharmacy Network position.

• Date:Tuesday, September 22
• Time:11:30 AM (please note that an aptitude assessment will follow the interview)
• Location:1255 Professional Parkway, Gainesville, GA 30501 (this is the first building on the right as you enter the premises)
• Interviewers:You will be meeting withBrianna Krepcio (Data Services Manager)andHeather Xiong (Pharmacy Network Manager)

Upon arrival:Kindly ring the doorbell at the front entrance of Building 1255, and a member of our team will greet you and get you checked in for your interview.

We look forward to meeting you!

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.