Provider Relations Specialist- REMOTE

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Provider Relations Specialist- REMOTEJob Description

The Provider Relations Specialist is responsible for supporting the provider communication and education portion of new client implementations, and the ongoing daily support of the existing client networks of providers. This position is responsible for researching and resolving standard provider inquiries and technological challenges.

Responsibilities

• Support or manage the new client communication and education workgroup as needed to facilitate successful implementations
• Monitor and evaluate inquires received and engage various business units, cross functional teams and key stakeholders to ensure timely and accurate resolution of provider inquiries
• Conduct monthly outreach calls to provider offices utilizing phone or fax for prior authorization submissions and encourage web submissions as the preferred alternative
• Research and escalate provider inquiries as appropriate
• Participate as assigned to support provider relations initiatives.
• Other duties as assigned

Education & Experience

• Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience
• 2 years of work experience in a call center, customer service, provider relations, operations, retail pharmacy, pharmacy technician, Pharmacy Benefit Management (PBM)
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

• Ability to work in a largely self-directed environment
• Available for occasional overnight travel
• Critical thinking skills and ability to anticipate issues and develop innovative solutions
• Ability to manage competing priorities and deadlines
• Experience working in provider relations
• Proficient with Microsoft Office (Excel, Access, Word, PowerPoint)

Preferred Qualifications

• Master’s degree in Business Administration, Healthcare or related field
• Pharmacy Technician certification (CPhT) or equivalent pharmacy experience

Physical Demands

• Ability to work a flexible schedule including shifts outside of Prime's core business hours of 8:00 a.m. to 4:30 p.m.
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. 

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.