What are the responsibilities and job description for the Pharmacy Network Representative position at ProCare Rx?
Job Details
Description
ESSENTIAL DUTIES AND RESPONSIBLITIES include but are not limited to the following:
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.
Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.
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 email us at HR@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.
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 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
- 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
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.
Please note while this job description is a comprehensive overview, additional responsibilities may be part of the role.
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 email us at HR@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.
Pharmacy Customer Service Representative
Burgess Information Systems -
Gainesville, GA