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SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.
Pharmacy Network Provider Relations Manager
Location
United States
Posted
87 days ago
Salary
0
Seniority
Lead
Job Description
Pharmacy Network Provider Relations Manager
SmithRx
• Identifying and recruiting pharmacies to join the network. • Onboard new pharmacies to Smith network by screening incoming pharmacy applications for completeness of materials during credentialing process. • Supporting contract management with pharmacy providers, including but not limited to reviewing performance metrics. • Building and maintaining strong relationships with pharmacy providers, addressing their concerns or issues, and facilitating effective communication between the pharmacy and the organization. • Resolving any issues or conflicts that arise between the organization and pharmacy providers. • Collaborating with cross-functional teams, such as claims processing departments, to implement initiatives aimed at improving network efficiency, quality, and provider satisfaction. • Create documentation for standard operating procedures within the Pharmacy Network. • Recommend methods to improve processes used by the department. • Build and maintain a database of pharmacy partners to ensure information is accurate and up to date. • Escalate pharmacy concerns internally and to help solve complex issues. • Assist with building out a Knowledge Base and contribute to our ongoing process improvement efforts.
Job Requirements
- Bachelor’s Degree or 8+ years of relevant work experience in managed care, pharmacy benefit management (PBM), or a similar healthcare setting is highly desirable.
- Familiarity with pharmacy pricing aspects, understanding of pharmacy networks and affiliations, and knowledge of pharmacy-related regulations and compliance requirements are beneficial for this role.
- Proficiency in using computer software, especially MS Excel.
- Strong networking, interpersonal, and relationship-building skills are crucial for building and maintaining positive relationships with pharmacy partners and internal cross-functional teams.
- Excellent verbal and written communication skills are essential for effectively conveying information, resolving issues, and collaborating with various stakeholders.
- The ability to analyze data, identify trends or patterns, and draw meaningful insights is valuable for tasks such as contract auditing, performance evaluation, and process improvement.
- Strong organizational skills, attention to detail, and the ability to manage multiple priorities and meet deadlines in a fast-paced environment are important for success in this role.
- The capacity to identify and resolve complex issues, escalate concerns when necessary, and recommend solutions or process improvements is beneficial.
- Pharmacy Technician Certification preferred, healthcare experience required.
- Self-driven and motivated with a desire to succeed in a fast-paced, changing environment.
Benefits
- Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary Paid Time Off
- Paid Company Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Well-stocked kitchen in office locations
- Professional development and training opportunities
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