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Specialist, Pharmacy Relations

Navitus Health Services

Frankfort, KYFull-timeSeen todaySeen in employer's feed today

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At a glance

Compensation
No compensation found
Location
Frankfort, KY
Schedule
Full-time
Work Authorization
Not specified

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Job overview

Navitus Health Services is adding a Pharmacy Relations Specialist to support its contracted pharmacy network. The role executes pharmacy contracts, responds to pharmacy inquiries, and handles operational tasks that maintain the network. The specialist resolves provider issues, manages contract information and network communications, and monitors claims accuracy. The posting prefers pharmacy or account experience, a pharmacy technician license, and knowledge of the PBM or healthcare industry.

Skills & qualifications

RequiredNice to have

Skills

Pharmacy Relations, nice to haveCustomer Service, nice to havePBM Knowledge, nice to haveHealthcare Industry Knowledge, nice to haveMicrosoft Office, nice to haveEmail, nice to haveInternet, nice to haveCooperative Interaction, nice to haveRespectful Interaction, nice to have

Qualifications

College or 2-Year Technical Degree or Equivalent Experience, nice to haveCertified Pharmacy Technician License, nice to have1-3 Years Customer Service Experience, nice to have3+ Years Pharmacy or Account Experience, nice to have

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Parental Leave
401(k) Match
Tuition Assistance

Full job description

Compensation

$

Hours Per Week

40

Number Of Positions

1

Job Description

Overview

Due to growth, we are adding a Pharmacy Relations Specialist (PRS) to our team!

The Pharmacy Relations Specialist (PRS) is a highly motivated professional with at least 3 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare. Responsibilities include executing contracts with pharmacies, responding to pharmacy inquiries and completing the tactical and operational tasks required to maintain contracted pharmacy networks.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Make decisions regarding the resolution of pharmacy issues

  • Establish and maintain contracts with pharmacy providers

  • Facilitate submittal, receipt, tracking, and process flow of contracts between Navitus and providers

  • Accurately enter information and maintain contract database

  • Generate reports on network performance to monitor the claims accuracy throughout the terms of the contract

  • Responsible for creating networks based on the contract terms within the claims processing system and ensure accuracy with performing quality reviews

  • Assists in resolving intricate pharmacy provider issues and complaints

  • Coordinate pharmacy network communication efforts including collection of content, disseminating information to provider partners through appropriate channels, and tracking response metrics

  • Other duties as assigned

Qualifications

What our team expects from you?

  • College or 2-year Technical Degree or equivalent experience is preferred. Advanced technical education a plus

  • Certified Pharmacy Technician license preferred

  • 1-3 years of successful experience in a customer service role

  • Knowledge of PBM or health care industry preferred

  • PC skills: Microsoft Office, Email, Internet, and other applications as require

  • Participate in, adhere to, and support compliance program objectives

  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

  • Top of the industry benefits for 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% - No vesting requirement

  • Adoption Assistance Program

  • Flexible Spending Account

  • Educational Assistance Plan and Professional Membership assistance

  • Referral Bonus Program – up to $750!

#LI-Remote

Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law.

Equal employment opportunity, including veterans and individuals with disabilities

PI288344729

Place of Work

On-site

Requisition ID

6988-Frankfort

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