Specialist II, Pharmacy Relations
Budget / Salary$48,729–58,010
TypeFull-time job
LocationUnited States
Posted2 hours ago
Company
NavitusAbout Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay Range
USD $48,729.00 - USD $58,010.00 /Yr.STAR Bonus % (At Risk Maximum)
7.50 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 8:00am-5:00pmRemote Work Notification
ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.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!
Location : Address
RemoteLocation : Country
USOriginally posted on Himalayas
NavitusAbout Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay Range
USD $48,729.00 - USD $58,010.00 /Yr.STAR Bonus % (At Risk Maximum)
7.50 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 8:00am-5:00pmRemote Work Notification
ATTENTION: Navitus is only able to offer remote work to residents of Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Washington DC, Wisconsin.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!
Location : Address
RemoteLocation : Country
USOriginally posted on Himalayas
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