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Bilingual Provider Relations Contract Analyst (on-site in Puerto Rico)
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Job Description
- Req#: JR102225
Employer Industry: Pharmacy Benefits Management
Why consider this job opportunity:
- Salary up to $100,628
- Incentive compensation and employee referral bonuses
- Comprehensive medical, dental, and vision benefits, along with wellness programs
- Paid time off and company-paid holidays
- Opportunities for professional growth and development, including tuition reimbursement
- Flexible work arrangements with potential remote work options
What to Expect (Job Responsibilities):
- Manage relationships with pharmacies in Puerto Rico, providing education and support on network-related activities
- Prepare and present at quarterly pharmacy meetings to enhance network collaboration
- Ensure compliance with pharmacy network agreements and support daily credentialing operations
- Collaborate with cross-functional teams on pharmacy-related matters and resolve claim issues
- Monitor pharmacy compliance with government regulations and internal policies
What is Required (Qualifications):
- Bachelor's degree and 3+ years of relevant experience or equivalent combination of education and experience
- Proficiency in SQL, Microsoft Access, and Microsoft Office Suite
- Strong understanding of insurance, pharmacy, and healthcare contracting
- Excellent written and verbal communication skills, with fluency in English and Spanish
- Ability to work independently and manage multiple projects in a corporate environment
How to Stand Out (Preferred Qualifications):
- Previous experience as a pharmacy technician
- Experience in project coordination within a corporate setting
- Strong data analysis and presentation skills
- Familiarity with pharmacy audits and compliance initiatives
#PharmacyBenefitsManagement #HealthcareCareers #BilingualOpportunities #CareerGrowth #CompetitiveBenefits
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