Job Type

Part-time

Description

Position 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.

About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You'll Do:

• 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
• Independently fulfill data/reporting requests from internal and external stakeholders
• Participate in process improvement and automation initiatives, both internal and interdepartmental
• Maintain and adhere to a list of service standards for the Provider Relations team; track the team's performance versus the team's service standards
• Attend industry conferences, trade shows, and meetings (e.g., NCPDP) as necessary for continuing education
• Work with minimal guidance
• Assist with other Strategic Pricing departmental and company-wide projects and duties as needed
• Portray the company in a positive image
• Required to abide by all rules, regulations and policies of the employer

What You Will Bring to MedOne:

• Well-organized, self-directed and able to work with minimal amount of supervision
• Highly detail-oriented and responsive with ability to monitor inbound inquiries and respond quickly, thoroughly and accurately
• Ability to multi-task, managing multiple projects/priorities daily
• Excellent research, follow-up, documentation and issue-resolution skills
• Ability to exercise considerable judgment, maintain confidentiality and act in a diplomatic manner
• Motivated to meet and exceed expectations
• Ability to communicate effectively with all levels within an organization, as well as external stakeholders
• Ability to work extended hours, weekend, and holidays as needed pursuant to industry demand

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth-all while helping to make a difference in people's lives. Our top core value is to prioritize your well-being . To support you in living this value, we offer:

• Competitive salary and bonuses that reward your performance.
• Comprehensive health, dental, and vision insurance + additional benefits
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.

Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

Employment Type: Part Time, Hourly

Reports to: Senior Director of Strategic Pricing

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we'd love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page .

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.