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Coordinator Pharmacy Relations Hybrid
Coordinator Pharmacy Relations Hybrid-May 2024
Appleton
May 9, 2025
About Coordinator Pharmacy Relations Hybrid

  JOB REQUIREMENTS: Putting People First in Pharmacy- Navitus was foundedas an alternative to traditional pharmacy benefit manager (PBM) models.We are committed to removing cost from the drug supply chain to makemedications more affordable for the people who need them. At Navitus,our team members work in an environment that celebrates diversity,fosters creativity and encourages growth. We welcome new ideas and sharea passion for excellent service to our customers and each other. Due togrowth, we are adding this Pharmacy Relations Coordinator to ourProvider Services department. The Pharmacy Relations Coordinator (PRC)is a highly motivated professional with at least 2 years of successfulexperience working in a pharmacy or interfacing directly with pharmaciesor accounts, preferably in healthcare. Responsibilities includeexecuting contracts with pharmacies, responding to pharmacy inquiries,and completing the tactical and operational tasks required to maintaincontracted pharmacy networks. The individual(s) in this position areresponsible for superior customer service with pharmacy partners and isthe face of Navitus to our pharmacy partners. The individual(s) willalso support internal associates, such as customer care and clientservices, to ensure pharmacies adjudicate pharmacy claims according toNavitus agreements and Navitus business rules. As part of the dailyresponsibilities, this position is responsible for establishingcontracts with pharmacy providers, recording data with a high level ofaccuracy, researching pharmacy inquiries, and reporting performancemetrics. In addition, the coordinator develops efficiencies in currentand future processes within the department and in how the departmentworks with other Navitus teams. Is this you? Find out more below! How doI make an impact on my team? Manage pharmacy contracting process withindependent pharmacies and select chains/PSAOs and assist managementwith network negotiations Review pharmacy contract setup to ensurecompliance with pharmacy network agreements Support pharmacy audits andnetwork compliance initiatives Support daily contracting operationsImplement changes to ensure compliance with all company policies andprocedures as well as regulatory requirements Develop, review, anddistribute pharmacy communications to meet internal and client requestsInvestigate specific issues related to regulatory requirements throughliterature or internet resources Monitor, track, and report pharmacycompliance with guiding government regulations and internal policies andprocedures Responsible for all aspects of maintenance related topharmacy network functions, such as, network plan design builds, qualityassurance measures and claims processing in general Maintain a thoroughunderstanding of all implications of... For full info followapplication link. Navitus Health Solutions is an Equal OpportunityEmployer: Disabled/Veterans/Male/Female/Minority/Other *****APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D10D4A9CE3D8449B

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