JOB REQUIREMENTS: 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. Due to
growth, we are adding this Pharmacy Relations Coordinator to our
Provider Services department. The Pharmacy Relations Coordinator (PRC)
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. The individual(s) in this position are
responsible for superior customer service with pharmacy partners and is
the face of Navitus to our pharmacy partners. The individual(s) will
also support internal associates, such as customer care and client
services, to ensure pharmacies adjudicate pharmacy claims according to
Navitus agreements and Navitus business rules. As part of the daily
responsibilities, this position is responsible for establishing
contracts with pharmacy providers, recording data with a high level of
accuracy, researching pharmacy inquiries, and reporting performance
metrics. In addition, the coordinator develops efficiencies in current
and future processes within the department and in how the department
works with other Navitus teams. Is this you? Find out more below! 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 Review pharmacy contract setup to ensure
compliance with pharmacy network agreements Support pharmacy audits and
network compliance initiatives Support daily contracting operations
Implement changes to ensure compliance with all company policies and
procedures as well as regulatory requirements Develop, review, and
distribute pharmacy communications to meet internal and client requests
Investigate specific issues related to regulatory requirements through
literature or internet resources Monitor, track, and report pharmacy
compliance with guiding government regulations and internal policies and
procedures 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 Maintain a thorough
understanding of all implications of... For full info follow
application link. Navitus Health Solutions is an Equal Opportunity
Employer: Disabled/Veterans/Male/Female/Minority/Other *****
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D10D4A9CE3D8449B