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Title
Text copied to clipboard!Pharmacy Network Coordinator
Description
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We are looking for a Pharmacy Network Coordinator to join our healthcare team and oversee the development, maintenance, and optimization of our pharmacy provider network. The Pharmacy Network Coordinator plays a critical role in ensuring that our pharmacy network meets regulatory standards, delivers high-quality patient care, and operates efficiently. This position involves working closely with pharmacies, healthcare providers, insurance companies, and internal departments to ensure seamless communication, contract management, and compliance with industry regulations. The ideal candidate will possess strong organizational skills, attention to detail, and a deep understanding of pharmacy operations and healthcare networks. Key responsibilities include onboarding new pharmacy providers, maintaining accurate records of network participants, resolving provider issues, and supporting network expansion initiatives. The Pharmacy Network Coordinator will also monitor network performance, analyze data to identify areas for improvement, and implement strategies to enhance service delivery. Excellent communication and negotiation skills are essential, as the role requires frequent interaction with external partners and internal stakeholders. The successful candidate will be adept at managing multiple projects simultaneously, prioritizing tasks, and adapting to the evolving needs of the healthcare industry. Familiarity with pharmacy benefit management, healthcare regulations, and provider credentialing processes is highly desirable. This is an excellent opportunity for a motivated professional to contribute to the growth and success of a dynamic healthcare organization.
Responsibilities
Text copied to clipboard!- Coordinate the onboarding and credentialing of pharmacy providers.
- Maintain accurate and up-to-date records of network pharmacies.
- Serve as the primary point of contact for pharmacy network inquiries.
- Monitor network performance and ensure compliance with regulatory standards.
- Resolve provider issues and facilitate effective communication.
- Support network expansion and contract negotiations.
- Analyze network data to identify trends and improvement opportunities.
- Collaborate with internal teams and external partners.
- Assist in the development and implementation of network policies.
- Prepare reports and presentations for management.
Requirements
Text copied to clipboard!- Bachelor’s degree in pharmacy, healthcare administration, or related field.
- Experience in pharmacy operations or network management.
- Strong organizational and multitasking abilities.
- Excellent communication and negotiation skills.
- Familiarity with healthcare regulations and compliance.
- Proficiency in Microsoft Office and database management.
- Attention to detail and problem-solving skills.
- Ability to work independently and as part of a team.
- Knowledge of pharmacy benefit management is a plus.
- Experience with provider credentialing processes preferred.
Potential interview questions
Text copied to clipboard!- What experience do you have with pharmacy network management?
- How do you ensure compliance with healthcare regulations?
- Describe a time you resolved a conflict with a provider.
- What strategies do you use to maintain accurate records?
- How do you prioritize multiple projects simultaneously?
- Are you familiar with pharmacy benefit management systems?
- What is your approach to onboarding new network providers?
- How do you handle sensitive or confidential information?
- Describe your experience with contract negotiations.
- What motivates you to work in healthcare network coordination?
