Pharmacy Network Rep

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 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.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting.

Please see the details below for your upcoming in-person interview for the Pharmacy Network position.

• Date: Tuesday, September 22
• Time: 11:30 AM (please note that an aptitude assessment will follow the interview)
• Location: 1255 Professional Parkway, Gainesville, GA 30501 (this is the first building on the right as you enter the premises)
• Interviewers: You will be meeting with Brianna Krepcio (Data Services Manager) and Heather Xiong (Pharmacy Network Manager)

Upon arrival: Kindly ring the doorbell at the front entrance of Building 1255, and a member of our team will greet you and get you checked in for your interview.

We look forward to meeting you!