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Specialist II, Pharmacy Relations

Navitus Health Services

Helena, MTFull-time$49–58K/yrSeen 1 day agoSeen in employer's feed 1 day ago

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At a glance

Compensation
$49–58K/yr
Location
Helena, MT
Schedule
Full-time
Work Authorization
Not specified

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Job overview

Navitus Health Services is adding a Pharmacy Relations Specialist II to maintain contracted pharmacy networks. The role manages pharmacy contracting and contract setup, supports audits and compliance initiatives, resolves claims issues, responds to pharmacy inquiries, and maintains network functions. The posting prefers pharmacy or managed care experience and a Certified Pharmacy Technician credential, and requires three years of business-setting experience.

Skills & qualifications

RequiredNice to have

Skills

Microsoft Office, nice to haveIndustry-Related Software, nice to haveCooperative Interaction, nice to haveRespectful Interaction, nice to have

Qualifications

College or Two-Year Technical Degree or Equivalent Experience, nice to haveAdvanced Technical Education, nice to haveCertified Pharmacy Technician, nice to have3 Years Business-Setting Experience, requiredRetail Pharmacy Experience, nice to haveManaged Care Pharmacy Experience, nice to haveMedical or Pharmacy Claims Analysis Experience, nice to havePharmacy Credentials Analysis Experience, nice to have

Benefits

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

Full job description

Expected Start Date

11/12/2026

Compensation

$48,729.00 - $58,010.00 / yearly

Hours Per Week

40

Number Of Positions

1

Job Description

Overview

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

The Pharmacy Relations Specialist (PRS II) is a highly motivated professional with at least 2 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?

  • 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

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 preferred

  • 3 years business-setting experience

  • Retail pharmacy experience or experience in a managed care pharmacy setting desired

  • Prior experience analyzing medical and/or pharmacy claims or credentials are highly desired

  • Proficient in Microsoft Office and industry related software

  • 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.

PI288343840

Is this a registered apprenticeship?

False

Place of Work

On-site

Requisition ID

6990-Helena

Job Type

Full Time

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