Pharmacy Network Manager

ESSENTIAL DUTIES AND RESPONSIBLITIES

include but are not limited to the following:

● Responsible for day-to-day operational support for pharmacy questions via phone and/or email. ● Responsible for Network Development emails; respond to requests and questions from pharmacies in a timely manner. ● Initiate and tracks contract from initial draft to full execution. ● Provide written and/or verbal contractual education for pharmacies as needed. ● Target and recruit additional pharmacies to meet Plan network adequacy requirements and/or requests and maintain network relationships with small independent/chain pharmacies. ● Participate in re-contracting efforts as required and directed. ● Shepherd contracts through the negotiation process for independent pharmacies and small chains and maintain relationships with those contracted entities. ● Lead Hospice Contracting initiatives. ● Update multiple systems with contract data and demographic information, as required. ● Submit pricing changes to the Quality Assurance team. ● Assist in RFP responses. ● Responsible for maintaining the Pharmacy Administrative Manual, (PAM). ● Work with the Credentialing Specialist to ensure credentialing standards are met. ● Investigate pharmacy claim issues; pricing complaints and perform Pricing Escalation triage for the network Analyst. ● Communicate with the MAC/Reimbursement team as required. ● Participate in the weekly GER review call and make changes in the system based on those reviews. ● Attend meetings for new plan implementations. ● Ensure deliverables are on time and meet quality levels as expected by ProCare’s internal and external customers. ● Coordinate and follow up on pharmacy network fax/email blasts as required. ● Responsible for oversight of monthly import reports and weekly cascading of data through various systems. ● Prepare documentation for audits, as requested by manager and support URAC accreditation. QUALIFICATIONS AND REQUIREMENTS ● Must be a strong team player who can adapt to a team environment and work independently in a fast-paced environment. ● Must be able to work in multiple computer systems simultaneously on a daily basis. ●

Excellent telephone etiquette and verbal/written communication skills. ●

Must be highly organized, motivated, take initiative and possess a willingness to learn new processes. ●

Extreme attention to detail required. ●

Working knowledge of computers and related software applications such as Word, Excel, Adobe and Outlook a must. ● 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. PHYSICAN DEMANDS Requires sitting, standing, and occasional light lifting. The Perks of Joining Our Team: We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future: Comprehensive Health Benefits:

Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance. Time to Recharge:

Paid vacation and holiday pay. Focus on Your Wellness:

We offer a robust Employee Wellness Program. Invest in Your Future:

401(k) with a company match. Support System:

Employee Assistance Program provides confidential support and counseling. Get Rewarded for Referring Great People:

Employee referral program. Ready to start your rewarding journey with us? Apply today! ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our official recruitment team at [email protected]. ProCare Rx is an Equal Opportunity Employer