Remote Pharmacy Contracts & Relations Specialist

Navitus; Tallahassee (FL); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

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%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan and Pro

Referral Bonus Program – up to $750!

Job summary

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

Ideal candidates have at least two years in a pharmacy setting, strong claims analysis experience, and proficiency with Microsoft Office. The position supports audits, network compliance, and cross-functional collaboration across departments.

Qualifications

• College or 2-year Technical Degree or equivalent experience preferred.
• Certified Pharmacy Technician preferred.
• 3 years business-setting experience.
• Retail pharmacy or managed care pharmacy setting experience desired.
• Prior experience analyzing medical/pharmacy claims or credentials desired.
• Proficient in Microsoft Office and industry related software.
• Participate in, adhere to, and support compliance program objectives.
• Ability to interact cooperatively and respectfully with others.

Responsibilities

• Manage pharmacy contracting with independent pharmacies and select chains/PSAOs; assist with network negotiations, including redline reviews.
• Review pharmacy contract setup to ensure compliance with network agreements.
• Support pharmacy audits and network compliance initiatives.
• Research and resolve claim issues and inquiries.
• Respond to and track requests, inquiries, and communications with network pharmacies.
• Develop, review, and distribute pharmacy communications for internal and client requests.
• Monitor, track, and report pharmacy compliance with government regulations and internal policies.
• Review independent pharmacy redlines with little input from senior leadership.
• Responsible for maintenance of pharmacy network functions (network plan design builds, QA measures, and claims processing).
• Other duties as assigned.

Skills

Business experience

Retail pharmacy experience

Pharmacy claims analysis

Microsoft Office

Compliance program participation

Interpersonal collaboration

Education

College or 2-year Technical Degree or equivalent experience

Certified Pharmacy Technician

Tools

Microsoft Office

Job description

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

Ideal candidates have at least two years in a pharmacy setting, strong claims analysis experience, and proficiency with Microsoft Office. The position supports audits, network compliance, and cross-functional collaboration across departments.