Remote Pharmacy Relations Specialist II - Network Contracts

Navitus; Salt Lake City (UT); A distancia; USD 70.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Dental & Vision coverage

Paid time off (PTO)

401K matching

Descripción de la vacante

Navitus Health Solutions seeks a Pharmacy Relations Specialist to join our team in a remote capacity. The role focuses on executing contracts with pharmacies, supporting network agreements, and addressing inquiries from network pharmacies.

The ideal candidate has at least 2 years in a pharmacy setting, strong Microsoft Office skills, and experience with claims or credentials. This position emphasizes compliance, network maintenance, and cross-functional collaboration.

Formación

• College or 2-year Technical Degree or equivalent experience preferred.
• Certified Pharmacy Technician preferred.
• 3 years business-setting experience.
• Retail pharmacy or managed care experience desired.
• Experience analyzing medical/pharmacy claims or credentials is highly desired.

Responsabilidades

• Manage pharmacy contracting with independent pharmacies and select chains; assist with network negotiations.
• Review contract setup for compliance with network agreements.
• Support pharmacy audits and network compliance initiatives.
• Research and resolve claim issues and inquiries.
• Respond to and track requests with network pharmacies.

Conocimientos

Pharmacy contracting

Network negotiations

Claims research

Microsoft Office

Educación

Two-year technical degree

Herramientas

Pharmacy software

Descripción del empleo

Navitus Health Solutions seeks a Pharmacy Relations Specialist to join our team in a remote capacity. The role focuses on executing contracts with pharmacies, supporting network agreements, and addressing inquiries from network pharmacies.

The ideal candidate has at least 2 years in a pharmacy setting, strong Microsoft Office skills, and experience with claims or credentials. This position emphasizes compliance, network maintenance, and cross-functional collaboration.