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4 дня назад

Pharmacy Network Coordinator (Healthcare)

70 000 - 91 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Pharmacy Network Coordinator (Healthcare): Managing retail, mail-order, and specialty pharmacy networks with an accent on data accuracy, credentialing, onboarding, and pharmacy access. Focus on verifying licenses and regulatory eligibility, troubleshooting claims and payment issues, and improving network operations across multiple systems.

Location: Remote; compensation is determined by geographic location, experience, and qualifications.

Salary: $70,000–$91,000 per year.

Company

hirify.global is a healthcare technology company that connects patients with clinicians, pharmacists, medications, and on-demand health guidance through a modern mobile app.

What you will do

  • Maintain and audit pharmacy network directories, contracts, and credentialing records for accuracy and compliance.
  • Obtain pharmacy licenses and certificates of insurance and verify eligibility through the NCPDP database and federal and state sources.
  • Coordinate onboarding, terminations, and status changes for retail, mail-order, and specialty pharmacies.
  • Serve as a day-to-day contact for network pharmacies and resolve claims, enrollment, and access issues.
  • Partner with claims, clinical, benefit, and navigation teams to troubleshoot adjudication and payment issues.
  • Prepare network reports for clients and help document and improve network operations processes.

Requirements

  • 2+ years of experience in pharmacy benefits, PBM operations, network management, or a related healthcare role.
  • Working knowledge of pharmacy network contracting, credentialing, or claims adjudication.
  • Ability to work independently, manage data across multiple systems, and maintain strong attention to detail.
  • Excellent written and verbal communication skills with a service-first approach to pharmacy partners.
  • Experience managing multiple priorities in a fast-paced environment and driving outreach to pharmacy providers.
  • Intermediate proficiency in Word, Excel, or Google Sheets.

Nice to have

  • Experience with PBM or claims platforms.
  • Familiarity with PBM regulatory and network adequacy requirements.
  • Experience working directly with retail, mail-order, or specialty pharmacies.
  • PTCB certification or a state license.

Culture & Benefits

  • Remote work arrangement.
  • Mission-driven focus on improving healthcare access, outcomes, and affordability.
  • Values centered on humanity, constructive debate, grit, and delighting customers.
  • Inclusive workplace committed to equal opportunity and diverse perspectives.

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