Bilingual Pharmacy Services Specialist

Pharmacy First is looking for a talented bilingual professional to assist the Pharmacy Services team by providing effective customer service to clients by using excellent, in-depth knowledge of company programs and contracts.

The Bilingual Pharmacy Services Specialist responsibilities include:

  • Accept incoming calls and e-mails from retail pharmacies and providers related to offered services providing assistance or resolution when necessary in a timely and professional manner
  • Serve as point-of-contact for issue resolution in contracting assistance, participant materials, report requests, and general inquiries, providing resolution in a timely and professional manner
  • Document as necessary all client contact discussions using the intervention process flow
  • Work regularly on open interventions, researching and resolving as quickly and professionally as possible
  • Identify issues that require additional investigation, evaluation and/or escalation to management; ensure appropriate documentation and follow-up

Desired Skills:

  • Proven success in customer services and client support
  • Experience with managing projects and tasks in an efficient manner
  • Effective analytical, oral, and written communication and organizational skills
  • Systems and software proficiency, including Microsoft Outlook, Word, Excel, and Access
  • Attention to detail and willingness to problem-solve to a resolution

Basic Qualifications:

  • High School Diploma or GED
  • Must be able to read, write and speak Spanish fluently
  • One plus year of previous pharmacy experience desired, preferably as a Pharmacy Technician
  • Pharmacy services background, including knowledge of prescription drugs and specialty products desired

Pharmacy First is dedicated to helping the Independent Pharmacy remain competitive and profitable in today’s market.  We offer an array of services, including contracting assistance (PSAO), third-party payer reconciliation, and adherence services to help meet the most important needs of independent pharmacy owners.  Our pharmacies are given the freedom to choose which programs best fit their needs.  We pride ourselves in making our pharmacy services available to all independent pharmacies, without specific ties to a wholesaler. Join Pharmacy First today and enjoy the benefits of our pharmacy management team!

Pharmacy First’s policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. Pharmacy First is proud to be a drug-free workplace.

If interested in the position, please contact Scott Chase, Director of Human Resources, at 913-661-0298 ext. 130 or by e-mail at scott.chase@wp-sandbox.pharmacyfirst.com.

New Job Posting – Compliance Analyst

Compliance Analyst

Pharmacy First is in need of a talented professional to assist our Managed Care team by being proactive in reducing the causes of deficits by utilizing database tools and reports in collaboration with pharmacies and payers. The individual in this role will be responsible for administering these tools, including oversight of the audit process and architecture, conducting pharmacy outreaches in conjunction with other team members, providing audit quality control, and finalizing and summarizing audit results. The Compliance Analyst will have the opportunity to develop new audit programs and processes as business needs require and will work closely with internal and external partners to conduct audits.

 

The Compliance Analyst responsibilities include:

  • Serve as liaison between the pharmacy and the payer during and/or after an audit
  • Communicate with pharmacies regarding necessary requirements of audits
  • Develop relationships with 3rd party audit teams to facilitate the sharing of concerns identified by the payer and allow for proactive responses
  • Review audit reports and determines potential risk of overpayments/deficits
  • Handle incoming calls from retail pharmacies and providers related to audit requests providing problem resolution when necessary in a timely and professional manner
  • Research and resolve direct requests from pharmacies related to outstanding payments
  • Assist with necessary communications with insurance companies to discuss and correct discrepancies
  • Identify issues that require additional investigation, evaluation, and/or escalation to management; ensure appropriate follow-up with payers and pharmacies

 

Desired Skills:

  • Attention to detail and willingness to problem-solve to a resolution
  • Ability to multi-task and manage multiple projects at once
  • Demonstrate effective interpersonal communications with coworkers, senior staff, and affiliate pharmacies.
  • Effective analytical, oral, and written communication and organizational skills
  • Systems and software proficiency, including Word, Excel, and Access

 

Basic Qualifications:

  • High School Diploma or GED required, Bachelor’s degree preferred
  • Fraud Examiner certification preferred
  • Knowledge of PBM industries and PBM claims processing systems
  • Previous pharmacy experience with preferably at least two years as a Pharmacy Technician
  • Pharmacy services background, including knowledge of prescription drugs and specialty products

 

Pharmacy First is dedicated to helping the Independent Pharmacy remain competitive and profitable in today’s market.  We offer an array of services, including contracting assistance (PSAO), third-party payer reconciliation, and adherence services to help meet the most important needs of independent pharmacy owners.  Our pharmacies are given the freedom to choose which programs best fits their needs.  We pride ourselves in making our pharmacy services available to all independent pharmacies, without specific ties to a wholesaler. Join Pharmacy First today and enjoy the benefits of our pharmacy management team!

 

Pharmacy First’s policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. Pharmacy First is proud to be a drug-free workplace.

 

If interested in the position, please contact Scott Chase, Director of Human Resources, at 913-661-0298 ext. 130 or by e-mail at scott.chase@wp-sandbox.pharmacyfirst.com.

New Job Posting – Data Specialist

 

Data Specialist

Pharmacy First is in need of an analytical candidate who is as skilled in healthcare analytics as they are in business management. The Data Specialist duties include organizing and managing large and varied data sets, analyzing pharmacy claims data to optimize business operations and communicating their findings through the use of data visualization and detailed reports.

Objectives of this Role

  • Compiling and organizing pharmacy demographic and operational data; taking complicated problems and building simple frameworks
  • Analyzing data to assist in delivering optimal services and achieving administrative goals
  • Identifying trends and operational highlights through analysis of complex data sets
  • Create best-practice reports based on data, analysis, and visualization
  • Work directly with management and users to gather requirements, provide status updates, and build relationships

Daily and Monthly Responsibilities

  • Serve as a project manager to understand and maintain focus on departmental analytical needs, including identifying critical metrics and KPIs, and deliver actionable insights to decision-makers
  • Proactively analyze data to answer key questions from stakeholders and to drive business performance
  • Create and maintain data interpretation and analysis models with various reporting components from multiple data sources
  • Develop and maintain databases by acquiring data from primary and secondary sources

Skills and Qualifications

  • Bachelor’s degree in Computer Science, Statistics or Healthcare Administration or equivalent experience
  • 4+ years’ experience with healthcare related data management preferred
  • Strong SQL and Excel skills with the ability to learn other analytic tools
  • Technical writing experience in relevant areas, including queries, reports, and presentations
  • Strong Time Management Skills
  • Excellent written and verbal communication skills
  • Good interpersonal skills

 

Pharmacy First is dedicated to helping the Independent Pharmacy remain competitive and profitable in today’s market.  We offer an array of services, including contracting assistance (PSAO), third party payer reconciliation, and adherence services to help meet the most important needs of independent pharmacy owners.  Our pharmacies are given the freedom to choose which programs best fits their needs.  We pride ourselves in making our pharmacy services available to all independent pharmacies, without specific ties to a wholesaler. Join Pharmacy First today and enjoy the benefits of our pharmacy management team!

 

Pharmacy First’s policy is to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. Pharmacy First is proud to be a drug-free workplace.

 

If interested in the position, please contact Scott Chase, Director of Human Resources, at 913-661-0298 ext. 130 or by e-mail at scott.chase@wp-sandbox.pharmacyfirst.com.