专员 II,药房关系
Specialist II, Pharmacy Relations
公司
Navitus公司简介
Navitus - 以患者为中心的药房服务 - Navitus 是传统药房福利管理(PBM)模式的一种替代方案。我们致力于从药品供应链中去除成本,使需要药物的人们能够负担得起。在 Navitus,我们的团队成员在一个庆祝多样性、激发创造力并鼓励成长的环境中工作。我们欢迎新想法,并对为客户提供优质服务以及彼此之间充满热情。现任员工必须使用 SSO 登录选项才能考虑内部机会。我们致力于为所有申请人和员工提供平等的就业机会,并遵守所有适用的反歧视法规,包括与受保护退伍军人和残疾人士相关的规定。所有合格申请人将在不考虑种族、肤色、宗教、性别、国籍或残疾的情况下获得就业考虑。薪资范围
每年 48,728.61 美元 - 58,010.26 美元
STAR 奖金百分比(风险最大值)
5.00 - 薪资制非管理岗位,药剂师除外
工作时间描述(例如:周一至周五 上午8点至下午5点)
周一至周五 上午8点至下午5点
远程工作通知
注意:Navitus 无法为阿拉斯加、夏威夷、缅因州、密西西比州、新罕布什尔州、新墨西哥州、北达科他州、罗德岛州、南卡罗来纳州、南达科他州、西弗吉尼亚州和怀俄明州的居民提供远程工作。
简介
Navitus Health Solutions 正在寻找一名药房关系专员加入我们的团队!
药房关系专员(PRS II)是一位高度积极进取的专业人士,至少有 2 年在药房或直接与药房或客户打交道的成功经验,最好是在医疗保健领域。职责包括与独立药房和选定连锁店/PSAO 进行合同执行,协助管理层进行网络谈判;包括红线审查。
审查药房合同设置,确保符合药房网络协议。
支持药房审计和网络合规计划。
研究并解决问题,以解决索赔问题和担忧。
回应并跟踪与网络药房的请求、查询和沟通。
制定、审查
查看英文原文
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 $48,728.61 - USD $58,010.26 /Yr.STAR Bonus % (At Risk Maximum)
5.00 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pmRemote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.Overview
Navitus Health Solutions is seeking a Pharmacy Relations Specialist to join 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
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