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Pharmacy Program Support Representative

Company: AmerisourceBergen Corporation - Corporate
Location: Orange
Posted on: May 3, 2021

Job Description:

Under general supervision of the Elevate Provider Network Management Team this associate performs duties and tasks related to the daily operations of the Network and provides support to the managed care/pharmacy services department including primary telephone coverage management of network database and creation and distribution of network materials and communications.

  • Performs basic computation data entry and review of materials submitted to Elevate Department by external customers.
  • Performs routine follow up with customers regarding incoming questions from phone email or fax.
  • Has awareness and understanding of Elevate Help Desk roles responses and procedures.
  • Works with other team members to ensure timely and proper completion of tasks and projects as assigned by management.
  • Identifies and reports to management any process or system concerns/errors discovered through self-exploration or customer reported.
  • Needs to be a strong team player. Actively participates in team and department meetings trainings and activities.
  • Has an individual awareness of other aspects of Elevate beyond your current role and responsibilities. Understands importance and function of the other teams within Elevate and the relation to your team and functions.
  • Works assigned shifts as provided in advance by management.
  • Team Specific Duties as follows: o Daily review of pharmacy submitted enrollment packet and supplemental materials including but not limited to: State Pharmacy License PIC License DEA Registrations Insurance Policies and Program Specific Addendums. Reports to Network Membership. o Daily outreach to pharmacies to collect and process licenses and other materials including but not limited to: State Pharmacy License PIC License DEA Registrations Insurance Policies Program Specific Addendums. Reports to Network Membership. o Primary telephone coverage for managed care and claims processing issues updates to network database creation and distribution of network materials and communications. o Receives and identifies all MAC requests received via email and distributes accordingly. Daily entry of all requests & additions including data entry online submission and outcome communications. Weekly submission of research requests to PBMs.

Normally requires a minimum of one (1) year of proven results in similar subject matter functions within the pharmaceutical industry. First-hand knowledge & understanding of team specific questions that come from incoming Help Desk inquiries. A well-rounded knowledge and understanding of business transactions accounting principles and market awareness. A combination of training education and/or experience that results in a greater understanding of professionalism in conduct demeanor and communication styles. Display of successful execution of duties in increasing responsibility and impact on team and department duties and structures.

  • Customer service skills to properly resolve common everyday issues to prevent escalations or customer complaints.
  • Strong personal organizational skills to facilitate successful completion of tasks and priorities as assigned.
  • Ability to work interdependently with other team members to accomplish daily tasks and processes.
  • Ability to communicate effectively and professionally verbally non-verbally and in writing
  • Introductory computer skills in order to operate effectively with company systems and programs; knowledge of Microsoft Word Excel and Access; or similar database programs and structures.
  • Introductory knowledge and experience in using features of Microsoft Outlook including: E-mail File Retention and Retrieval Contact Management and Calendar and Task Tracking Tools.
  • Preferred working knowledge or experience of pharmacy benefit management companies and retail pharmacy operations

Keywords: AmerisourceBergen Corporation - Corporate, Orange , Pharmacy Program Support Representative, Other , Orange, California

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