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Credentialing Specialist

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Pharmacy First is in need of a talented professional to join our team who will be responsible for ensuring the accuracy of documentation necessary for pharmacy credentialing and working with the pharmacy in order to obtain current and appropriate documents.

 

The Credentialing Specialist responsibilities include:

  • Handles phone/e-mail inquiries from retail pharmacies related to credentialing
  • Serves as point-of-contact for issue resolutions involving credential acquisition or maintenance
  • Solicits and maintains pharmacy networks of credentials
  • Tracks licensure and other area-specific required credentialing documents and update database as needed
  • Researches, documents and resolves credentialing issues in a timely and professional manner
  • Identifies issues that require additional investigation, evaluation and/or escalation to management; ensure appropriate follow-up

 

Desired Skills:

  • Proven success in customer service 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 Outlook, Word, Excel, and Access

 

Basic Qualifications:

  • High school diploma or GED
  • Data Entry and/or Credentialing experience a plus but not required

 

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@pharmacyfirst.com.

Data Analyst

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Pharmacy First is in need of a highly analytical candidate who is as skilled in healthcare analytics as they are in business management. The Healthcare Data Analyst 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 the analysis of complex data sets
  • Create best-practice reports based on data mining, analysis, and visualization
  • Work directly with management and users to gather requirements, provide status updates, and build relationships

Daily and Monthly Responsibilities:

  • Work closely with project managers to understand and maintain focus on their analytical needs, including identifying critical metrics and KPIs, and deliver actionable insights to relevant 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 Mathematics, Computer Science, Statistics or Healthcare Administration
  • 4+ years experience mining healthcare-related data as a data analyst
  • Proven analytic skills, including mining, evaluation, analysis, and visualization
  • Strong SQL and Excel skills with the ability to learn other analytic tools
  • Visual Basic Programming experience preferred
  • Technical writing experience in relevant areas, including queries, reports, and presentations
  • 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@pharmacyfirst.com.

Reconciliation Specialist

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Pharmacy First is looking for a talented professional to assist the Reconciliation team by comparing billing claims against actual receipts, research discrepancies, and enact resolutions toward securement of all monies due to our clientele.

The Reconciliation Specialist responsibilities include:

  • Responsible for incoming calls and e-mails from retail pharmacies and providers related to reconciliation providing problem resolution when necessary in a timely and professional manner
  • Tracks daily electronic remittance from payers and validates same against billed claims
  • Contacts payers and pharmacies to discuss discrepancies and resolutions
  • Documents as necessary all client contact discussions using the intervention process flow
  • Works regularly on open interventions, researching and resolving as quickly and professionally as possible
  • Identifies issues that require additional investigation, evaluation and/or escalation to management; ensure appropriate follow-up with payers and pharmacies

Desired Skills:

  • Ability to analyze billing statements and compares receipts to statements
  • Effective analytical, oral and written communication and organizational skills
  • Proven success in customer service and client support
  • Experience with managing projects and tasks in an efficient manner
  • Systems and software proficiency, including Outlook, Word, Excel, and Access

Basic Qualifications:

  • High school diploma or GED
  • One year previous customer service experience required

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@pharmacyfirst.com.

Accounting Specialist

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Pharmacy First is looking for a talented professional to perform technical accounting activities that include processing accounts payables, verifying cash receipt documents, maintaining financial records and reports, and analyzing and resolving discrepancies.

The Accounting Specialist responsibilities include:

  • Match and file accounts payable
  • Attach AP backup documents to transactions in Great Plains (GP)
  • Accounts receivable collections
  • Weekly AR debit batches
  • Weekly deficit debit batches
  • Argus emails
  • Enter/double check/file bank forms
  • Enter Cash receipts
  • Match AMEX backup to statements
  • Record ERDs in GP
  • Daily bank reconciliations
  • Quarterly rebate emails

Competencies:

  • Proven success in basic bookkeeping and collections
  • Proven success in a detail-oriented environment
  • Experience with managing projects and tasks in an efficient manner
  • Effective analytical, oral and written communication and organizational skills
  • Systems and software proficiency, including Dynamics GP, Outlook, Word, Excel and Access

Basic Qualifications:

  • High school diploma or GED
  • Minimum 2 years accounting or bookkeeping experience

Serving more than 2,300 independent pharmacies in the U.S. and Puerto Rico, Pharmacy First provides services and support to keep its members competitive in an evolving market. Pharmacy First eases the administrative overhead of independent pharmacy operations by assisting with credentialing, third-party contract management and reconciliation/recovery, quality assurance, medication adherence services and more. For more information, visit pharmacyfirst.com.

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@pharmacyfirst.com.

Credentialing Specialist

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Pharmacy First is in need of a talented professional to join our team who will be responsible for insuring the accuracy of documentation necessary for pharmacy credentialing and working with the pharmacy in order to obtain current and appropriate documents.

The Credentialing Specialist responsibilities include:

  • Handles phone/e-mail inquiries from retail pharmacies related to credentialing
  • Serves as point-of-contact for issue resolutions involving credential acquisition or maintenance
  • Solicits and maintains pharmacy networks of credentials
  • Tracks licensure and other area-specific required credentialing documents and update database as needed
  • Researches, documents and resolves credentialing issues in a timely and professional manner
  • Identifies issues that require additional investigation, evaluation and/or escalation to management; ensure appropriate follow-up

Desired Skills:

  • Proven success in customer service 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 Outlook, Word, Excel and Access

Basic Qualifications:

  • High school diploma or GED
  • Data Entry and/or Credentialing experience a plus but not required

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@pharmacyfirst.com.

Pharmacy Services Specialist

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Pharmacy First is looking for a talented 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 as well as resolutions for Maximum Allowable Cost (MAC) issues.

The Pharmacy Services Specialist responsibilities include:

  • Accept incoming calls and e-mails from retail pharmacies, providers and payers related to offered services and MAC Issues in a timely and professional manner
  • Serve as point-of-contact for issue resolution in contracting assistance, participant materials, report requests, general inquiries and MAC claims
  • Document as necessary all client contact discussions using the intervention process flow
  • Document MAC appeal progress and regularly communicate updates to pharmacies as needed
  • 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
  • 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 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@pharmacyfirst.com