Specialist II, Pharmacy Relations at Navitus in Nashville, Tennessee

Pharmacy Relations SpecialistNavitus Health Solutions is seeking a Pharmacy Relations Specialist to join our team!The Pharmacy Relations Specialist (PRS II) 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.ResponsibilitiesHow 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; inclusive of redline reviewsReview pharmacy contract setup to ensure compliance with pharmacy network agreementsSupport pharmacy audits and network compliance initiativesResearch and problem solve to resolve claim issues and concernsRespond to and track requests, inquiries, and communications with network pharmaciesDevelop, review, and distribute pharmacy communications to meet internal and client requestsMonitor, track, and report pharmacy compliance with guiding government regulations and internal policies and proceduresReviews and responds to independent pharmacy redlines; with little to no input from senior leadershipResponsible for all aspects of maintenance related to pharmacy network functions, such as, network plan design builds, quality assurance measures and claims processing in generalOther duties as assignedQualificationsWhat our team expects from you? College or 2-year Technical Degree or equivalent experience is preferred. Advanced technical education a plusCertified Pharmacy Technician preferred3 years business-setting experienceRetail pharmacy experience or experience in a managed care pharmacy setting desiredPrior experience analyzing medical and/or pharmacy claims or credentials are highly desiredProficient in Microsoft Office and industry related softwareParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat can you expect from Navitus?Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750!Navitus Health Solutions is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by law. Equal employment opportunity, including veterans and individuals with disabilities.