What are the responsibilities and job description for the Pharmacy Relations Representative position at Burgess Information Systems?
SHIFT: Monday-Friday, 8am - 5pm (Non-negotiable)
PAY: $18 Hourly
SUMMARY
The Pharmacy Relations 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.
ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at (678) 248-4755 or email us at HR@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.
Salary : $18
