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 ProCare’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 thePharmacy Networkposition.
- 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 withBrianna Krepcio (Data Services Manager)andHeather 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!
