Remote Pharmacy Network Relations Specialist II

Navitus; Carson City (NV); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid time off 20 days

Parental leave 4 weeks

401K company match 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance Plan

Referral Bonus Program – up to $750

Job summary

Navitus Health Solutions seeks a Pharmacy Relations Specialist to help manage pharmacy contracting and maintain contracted networks across independent pharmacies and select chains. You will respond to inquiries, support audits, and help ensure compliance with network agreements.

The PRS II position requires 2+ years in a pharmacy setting, familiarity with claims analysis, and proficiency in MS Office; Navitus offers industry-leading benefits and a remote-friendly environment.

Qualifications

• College or 2-year degree preferred; tech degree acceptable.
• Certified Pharmacy Technician preferred.
• 3 years in a business setting.
• Retail pharmacy or managed care experience desirable.
• Experience analyzing medical/pharmacy claims preferred.
• Proficient with Microsoft Office and related software.
• Support compliance program objectives.
• Ability to interact cooperatively with colleagues.

Responsibilities

• Manage pharmacy contracting with independents and select chains; assist network negotiations.
• Review contract setups for compliance with network agreements.
• Support pharmacy audits and network compliance initiatives.
• Research and resolve claim issues and concerns.
• Respond to inquiries and track communications with network pharmacies.
• Create and distribute pharmacy communications for internal and client needs.
• Monitor and report pharmacy compliance with regulations and policies.
• Handle redlines on independent pharmacy agreements with minimal senior input.
• Maintain network functions such as plan design builds and claims processing.
• Perform other duties as assigned.

Skills

Pharmacy experience

Pharmacy tech cert

College degree

Business experience

Claims analysis

Microsoft Office

Compliance awareness

Interpersonal skills

Education

College degree or equivalent

Certified Pharmacy Technician

Job description

Navitus Health Solutions seeks a Pharmacy Relations Specialist to help manage pharmacy contracting and maintain contracted networks across independent pharmacies and select chains. You will respond to inquiries, support audits, and help ensure compliance with network agreements.

The PRS II position requires 2+ years in a pharmacy setting, familiarity with claims analysis, and proficiency in MS Office; Navitus offers industry-leading benefits and a remote-friendly environment.