• Provider Relations Specialist (Pharmacy Outreach)

    Insight Global (Eagan, MN)


    Job Description

    The Provider Relations Representative is responsible for conducting outreach to pharmacies participating in the client's pharmacy networks and ensuring the information provided during outbound communications is accurate and delivered in a timely manner. This position is responsible for managing extension requests for the claims processing time frame and triaging inquires received in the Pharmacy Network Management email box. You will be responsible for the following: Conduct pharmacy outreach to support regulatory, client commitments and other initiatives as assigned by Network Management leadership • Maintain accurate records regarding the results of pharmacy outreach in support of reporting for internal and external stakeholders • Assist with outbound calls to pharmacies to address and resolve issues or create awareness of new clients, networks, or regulatory requirements • Update and manage requests to update the transaction control table in order extend the timely filing • Assign and escalate inquiries received through the Pharmacy Network Management email box

     

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

     

    Skills and Requirements

     

    - High School Diploma or GED

     

    -Prior experience working in an outbound call environment

     

    - Superb customer service skills

     

    - Great communication

     

    - High attention to detail and problem-solving skills

     

    - Driven, motivated and organized

     

    -Strong ability to multitask

     

    -Working knowledge of Microsoft Word and Microsoft Excel

     

    -Must be able to work on weekends when needed (based on business needs and work volume) - Prior PBM experience

     

    - Experience working as a Pharmacy Technician

     

    - Prescription drug knowledge

     

    - Health care experience

     

    - Phone support and experience with high outbound call volume