Position Overview:

Responsible for performing daily PBM account management activities to ensure successful implementation and ongoing performance. 

 

Status: Full Time, Non-Exempt

Reports to: Manager of Payer Accounts and Audits

Positions reporting to this position: None

Department: Managed Care 

Location: Dallas, TX

 

Education / Licensing Requirements:

Pharmacy Technician and PTCB Certification required. 

 

Experience Requirements:

1-2 years' specialty pharmacy experience.

 

Essential Skills/Experience

• Organizational skills

• Proven time management skills

• Strong Microsoft Office skills

• Excellent attention to detail

• Pharmaceutical knowledge

• Strong analytical and problem-solving ability

• Proven ability to prioritize and multi-task

 

Characteristics

• Sense of urgency

• Organized, detail-oriented; catches errors early

• Ethical; respects confidentiality

 

Responsibilities

• Responds to day-to-day inquiries and service issues, analysis the issue and

• provides a resolution.

• Processes claims and assists members with copay enrollment, copay processing

• and copay reporting to the payers.

• Facilitates new members onboarding to Senderra.

• Received or initiates drug access inquiries, pricing and addition of the drugs to the

• contracts.

• Compiles data requested by the payer to support payer issue inquiries.

• Supplies Senderra drug access information and services available.

• Investigates and resolves payer reimbursement issues.

• Participates in staff meetings, conference calls, and other meetings, as needed.

• Performs other incidental and related duties as required. 

 

Working Conditions

• Fast-paced environment.

• Requires normal vision (corrected) both close and distant.

• Requires normal hearing levels (corrected).

• Requires working at a desk to use a phone and computer for extended periods of time. Requires sitting, bending.

• Requires normal finger dexterity for keyboarding.

• Works effectively with frequent interruptions.

• Lifting requirements of 15 pounds occasionally.

• Minimal travel <10%.