Remote Pharmacy Network Relations Specialist II

Navitus; Indianapolis (IN); Remote; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health, dental, and vision insurance

Paid time off

Parental leave

Paid holidays

401K company match

Adoption assistance

Flexible Spending Account

Educational assistance

Professional membership assistance

Referral bonus program

Job summary

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team. With 2+ years in pharmacy or interfacing with pharmacies, you will manage contracting, network maintenance, and regulatory compliance across contracted networks.

The role emphasizes collaboration with independent pharmacies and PSAOs, contract reviews, audits, and issue resolution, while supporting client communications and network design efforts. Remote-friendly in the U.S.

Qualifications

• 2+ years experience in a pharmacy or interfacing with pharmacies or accounts
• College or 2-year Technical Degree or equivalent experience preferred
• Certified Pharmacy Technician preferred

Responsibilities

• 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

Skills

Pharmacy contracting

Network negotiations

Claims analysis

Microsoft Office

Communication

Compliance

Education

Associate degree or equivalent experience

Certified Pharmacy Technician preferred

Tools

Pharmacy management software

Job description

Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team. With 2+ years in pharmacy or interfacing with pharmacies, you will manage contracting, network maintenance, and regulatory compliance across contracted networks.

The role emphasizes collaboration with independent pharmacies and PSAOs, contract reviews, audits, and issue resolution, while supporting client communications and network design efforts. Remote-friendly in the U.S.