Pharmacy Relations Representative
2.
7 Gainesville, GA Gainesville, GA Full-time Full-time $18 - $19 an hour $18 - $19 an hour 15 hours ago 15 hours ago 15 hours ago SHIFT:
Monday-Friday, 8am - 5pm (Non-negotiable) PAY:
$18 - $19 Hourly SUMMARY The Pharmacy Network Representative will be responsible for assisting with the day-to-day operations of the Network Development department, including pharmacy outreach, contracting, data entry, pharmacy education and working internally across multiple departments.
The work schedule listed above is non-negotiable.
ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:
Provide day-to-day operational support for pharmacy questions via phone and/or email.
Responsible for Network Development emails; respond to requests and questions from pharmacies in a timely manner.
Initiate and tracks contract from initial draft to full execution.
Provide written and/or verbal contractual education for pharmacies as needed.
Target and recruit additional pharmacies to meet Plan network adequacy requirements and/or requests.
Participate in re-contracting efforts as required and directed.
Update multiple systems with contract data and demographic information, as required.
Submit pricing changes to the Quality Assurance team.
Work with the Credentialing Specialist to ensure credentialing standards are met.
Investigate simple pharmacy claim issues, help resolve pharmacy issues and complaints.
Communicate with the MAC/Reimbursement team as required.
Prepare documentation for audits, as requested by manager.
Attend meetings for new plan implementations.
Ensure deliverables are on time and meet quality levels as expected by ProCare's internal and external customers.
Coordinate and follow up on pharmacy network fax/email blasts as required.
Responsible for monthly import reports and weekly cascading of data through various systems.
QUALIFICATIONS AND REQUIREMENTS Must be a strong team player who can adapt to a team environment and work independently in a fast-paced environment.
Must be able to work in multiple computer systems simultaneously on a daily basis.
Excellent telephone etiquette and verbal/written communication skills.
Must be highly organized, motivated, take initiative and possess a willingness to learn new processes.
Extreme attention to detail required.
Working knowledge of computers and related software applications such as Word, Excel, Adobe and Outlook a must.
Must be able to review contracts and learn the differences of each contract.
EDUCATION AND EXPERIENCE Associate's Degree with two years of experience in a health care setting working with contracts and/or provider relations preferred.
PBM experience a plus.
PHYSICAN DEMANDS Requires sitting, standing, and occasional light lifting.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
7 Gainesville, GA Gainesville, GA Full-time Full-time $18 - $19 an hour $18 - $19 an hour 15 hours ago 15 hours ago 15 hours ago SHIFT:
Monday-Friday, 8am - 5pm (Non-negotiable) PAY:
$18 - $19 Hourly SUMMARY The Pharmacy Network Representative will be responsible for assisting with the day-to-day operations of the Network Development department, including pharmacy outreach, contracting, data entry, pharmacy education and working internally across multiple departments.
The work schedule listed above is non-negotiable.
ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:
Provide day-to-day operational support for pharmacy questions via phone and/or email.
Responsible for Network Development emails; respond to requests and questions from pharmacies in a timely manner.
Initiate and tracks contract from initial draft to full execution.
Provide written and/or verbal contractual education for pharmacies as needed.
Target and recruit additional pharmacies to meet Plan network adequacy requirements and/or requests.
Participate in re-contracting efforts as required and directed.
Update multiple systems with contract data and demographic information, as required.
Submit pricing changes to the Quality Assurance team.
Work with the Credentialing Specialist to ensure credentialing standards are met.
Investigate simple pharmacy claim issues, help resolve pharmacy issues and complaints.
Communicate with the MAC/Reimbursement team as required.
Prepare documentation for audits, as requested by manager.
Attend meetings for new plan implementations.
Ensure deliverables are on time and meet quality levels as expected by ProCare's internal and external customers.
Coordinate and follow up on pharmacy network fax/email blasts as required.
Responsible for monthly import reports and weekly cascading of data through various systems.
QUALIFICATIONS AND REQUIREMENTS Must be a strong team player who can adapt to a team environment and work independently in a fast-paced environment.
Must be able to work in multiple computer systems simultaneously on a daily basis.
Excellent telephone etiquette and verbal/written communication skills.
Must be highly organized, motivated, take initiative and possess a willingness to learn new processes.
Extreme attention to detail required.
Working knowledge of computers and related software applications such as Word, Excel, Adobe and Outlook a must.
Must be able to review contracts and learn the differences of each contract.
EDUCATION AND EXPERIENCE Associate's Degree with two years of experience in a health care setting working with contracts and/or provider relations preferred.
PBM experience a plus.
PHYSICAN DEMANDS Requires sitting, standing, and occasional light lifting.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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