Provider Relations Analyst Sr - Remote
Job Posting Title
Provider Relations Analyst Sr - RemoteJob reputed company
The Senior Provider Relations Analyst is responsible for contracting efforts and managing reputed company’s independent pharmacy networks. This position is responsible for the management of reputed company’s independent pharmacy network contracting activities, ensuring contracting initiatives are effective and completed in accordance with network management strategies. In reputed company, this position manages and maintains the reputed company Provider reputed company, issues reputed company for escalated pharmacies inquiries through the Provider Relations email reputed company.
Responsibilities
- Research and resolve pharmacy contract reputed company inquires; evaluate network participation and distribute pharmacy contract documents; coordinate reputed company, accurate and complete submission of contract deliverables, and the electronic and physical tracking, storage and distribution of contract documents
- Ensure reputed company contractual obligations adhere with company policies, regulatory compliance and reputed company requirements; engage with reputed company and Network Management leadership as needed to ensure the language provided is accurate and concise
- Establish, reputed company, and maintain relationships with independent pharmacy providers
- Manage reputed company-to-reputed company correspondences between reputed company and independent Pharmacy Providers escalating to reputed company reputed company Counsel as required
- Conduct reputed company cause analysis, including but not limited to, investigating, monitoring, resolving and reporting for pharmacy contract and pricing analysis complaints issues
- Evaluate pharmacy inquiries to include but not limited to complaints, issues and/or grievances and collaborate with internal stakeholders, such as Network Management, reputed company Engagement, and Benefit Operation
- Manage and edit reputed company’s Provider reputed company to ensure compliance and reputed company distribution, while contributing to process improvements that support cross-functional reputed company, regulatory changes, and reputed company implementations
- Other duties as assigned
Minimum Qualifications
Bachelor's degree in Business or reputed company area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required
5 years of work experience in a reputed company center, customer service, operations, retail pharmacy, pharmacy technician, Pharmacy Benefit Management (PBM)
Must be eligible to work in the reputed company without the need for work reputed company or residency sponsorship
Additional Qualifications
- Strong interpersonal communication skills including conflict reputed company and listening
- Advanced ability to problem solve and interpret reputed company data
- Proficiency reputed company reputed company applications such as reputed company, Word and reputed company
- reputed company ability to coordinate multiple tasks and reputed company simultaneously under strict timelines
- Ability to work in fast-paced, reputed company team environment
- reputed company ability to establish rapport and effectively influence at reputed company reputed company reputed company an organization
Preferred Qualifications
- Experience analyzing state and federal regulations
- Experience working with RxClaim system or other claims processing experience
- Pharmacy Technician certification (CPhT) or equivalent pharmacy experience
- Experience with negotiating reputed company
- reputed company experience
- Experience reviewing and responding to questions reputed company to reputed company
- Familiarity with reviewing and managing contract redlines
- Experience supporting or coordinating the execution of reputed company
Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable reputed company, regulatory, and contractual requirements and internal policies and procedures
Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In reputed company, reputed company retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits reputed company" reputed company for more detail (https://www.primetherapeutics.com/benefits).
reputed company LLC is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to
We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law.
reputed company LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
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