16 open roles
Pharmacy Network Rep
Job description
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 Responsible for Network Development emails; respond to requests and questions from pharmacies in a timely Initiate and tracks contract from initial draft to full Provide written and/or verbal contractual education for pharmacies as Target and recruit additional pharmacies to meet Plan network adequacy requirements and/or Participate in re-contracting efforts as required and Update multiple systems with contract data and demographic information, as Submit pricing changes to the Quality Assurance Work with the Credentialing Specialist to ensure credentialing standards are Investigate simple pharmacy claim issues, help resolve pharmacy issues and Communicate with the MAC/Reimbursement team as Prepare documentation for audits, as requested by Attend meetings for new plan Ensure deliverables are on time and meet quality levels as expected by Pro.
Care’s internal and external Coordinate and follow up on pharmacy network fax/email blasts as Responsible for monthly import reports and weekly cascading of data through various QUALIFICATIONS AND REQUIREMENTS Must be a strong team player who can adapt to a team environment and work independently in a fast-paced Must be able to work in multiple computer systems simultaneously on a daily Excellent telephone etiquette and verbal/written communication Must be highly organized, motivated, take initiative and possess a willingness to learn new Extreme attention to detail Working knowledge of computers and related software applications such as Word, Excel, Adobe and Outlook a 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. PHYSICAL DEMANDS Requires sitting, standing, and occasional light lifting. Please see the details below for your upcoming in-person interview for the Pharmacy Network position. Date: Tuesday, September 22 Time: 11:30 AM (please note that an aptitude assessment will follow the interview) Location: 1255 Professional Parkway, Gainesville, GA 30501 (this is the first building on the right as you enter the premises) Interviewers: You will be meeting with Brianna Krepcio (Data Services Manager) and Heather Xiong (Pharmacy Network Manager) Upon arrival: Kindly ring the doorbell at the front entrance of Building 1255, and a member of our team will greet you and get you checked in for your interview.
We look forward to meeting you!
Description copied from PROCARE HOSPICECARE, INC.'s careers page. Read the full posting before you apply.
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