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Provider Relations Specialist - Part Time - Remote

Posted 1 week ago
Customer Service
Part Time
USA

Overview

The Provider Relations Specialist role involves handling pharmacy network operations and inquiries, maintaining provider contracts, managing data requests, and serving as a liaison between the pharmacy benefit manager and various stakeholders, with opportunities to work remotely or from offices in Dubuque, IA or Kansas City, MO.

In Short

  • Field and resolve pharmacy inquiries accurately and timely
  • Interpret and execute on pharmacy network reporting requests and requirements
  • Facilitate submittal, receipt, tracking, and process flow of contracts between MedOne and providers
  • Accurately enter information and maintain contract database
  • Coordinate pharmacy network communications
  • Develop a thorough understanding of the network structure of MedOne’s clients
  • Research and resolve pharmacy payment inquiries
  • Participate in process improvement and automation initiatives
  • Attend industry conferences and trade shows as necessary for continuing education
  • Assist with other Strategic Pricing departmental and company-wide projects as needed

Requirements

  • Well-organized, self-directed and able to work with minimal supervision
  • Highly detail-oriented and responsive
  • Ability to multi-task and manage multiple projects
  • Excellent research and documentation skills
  • Ability to exercise judgment and maintain confidentiality
  • Effective communication skills with all levels within an organization
  • Ability to work extended hours as needed

Benefits

  • Competitive salary and bonuses
  • Comprehensive health, dental, and vision insurance
  • 401(k) with company match
  • Generous paid time off and holidays
  • Opportunities for professional growth
  • A vibrant and collaborative work culture
MedOne Pharmacy Benefit Solutions logo

MedOne Pharmacy Benefit Solutions

MedOne Pharmacy Benefit Solutions is a full-service pharmacy benefit manager (PBM) that operates nationwide, dedicated to providing clients and members with convenient access to appropriate prescriptions at affordable prices. With a commitment to transparency through a pass-through model, MedOne focuses on resolving client and member issues, enhancing efficiencies, and supporting the onboarding of new clients and vendors. The company values diversity and inclusivity, fostering a dynamic work environment for its employees.

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