Pharmacy Network Representative

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

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.

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.