Payer EDI Pharmacy Specialist - Remote

Overview

The Veterans Health Administration (VHA) Office of Integrated Veteran Care (IVC) Veteran and Family Member Programs (VFMP) oversees five statutory health benefit programs that provide healthcare services to more than 1,000,000 eligible beneficiaries and Veterans in the United States and 6 million service-connected eligible Veterans around the world.

In Short

• VFMP partners with hundreds of thousands of non-VA providers to ensure timely access to healthcare and pharmacy services.
• Essential information about programs, eligibilities, coverages, and billing is required.
• Bi-directional provider communication and document exchange support health benefits administration.
• Modern platforms and automation solutions are needed for health benefits operations.
• Continuous contact with individuals and demographics served is necessary.
• Consistent messaging is required to ensure user access to care.
• Gritter Francona is looking for a Pharmacy Specialist for an upcoming project.

Requirements

• Experience in pharmacy services and healthcare administration.
• Knowledge of EDI processes and systems.
• Strong communication skills for provider interaction.
• Ability to manage healthcare operations effectively.
• Understanding of health benefits programs and eligibility criteria.

Benefits

• Opportunity to contribute to veteran healthcare initiatives.
• Work with a dedicated team focused on improving access to care.
• Engagement in meaningful projects that impact veterans and their families.