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Imagine360 · 6 hours ago

Prescription (RX) Drug Implementation Coordinator

United States

Full-time

Remote

Entry, Mid Level

2+ years exp

Imagine360 is seeking a Prescription (RX) Drug Implementation Coordinator to join the team! The role is responsible for managing the end-to-end pharmacy setup requirements for new clients and current clients making changes to their pharmacy benefits, including coordination with Pharmacy Benefit Manager partners and internal stakeholders.

Health CareHealth InsuranceInsurance

Responsibilities

Lead implementation calls with PBM partners to support new client pharmacy setups

Coordinate pharmacy benefit changes for current clients with internal and external stakeholders

Ensure accurate setup of required eligibility, claims, and/or accumulator files between i360 and the PBM partners

Lead key implementation activities for Imagine360Rx, Imagine360s white-labelled pharmacy benefit solution - including leading the client and stakeholders through the I360Rx Implementation guide, engaging with technical contacts, ensuring all required documentation is reviewed, approved, and signed, and ensuring accurate and timely setup

Provide status updates to internal stakeholders for all ongoing pharmacy setups

Audits plan set up/changes for accuracy. Coordinates eligibility with the PBM

Review and approve client ID cards and plan docs to ensure accuracy on behalf of Rx Services

Resolve any HelpDesk tickets or Client Change Requests assigned to the Rx Services queue

Coordinate with internal IT teams to address and resolve any required pharmacy file transmission issues with clients

Appropriately escalates challenges up the chain of command

Preempt issues to ensure all internal stakeholders are aware of client status and areas of rapid issue resolution

Trains new employees/and cross departmentally as assigned

Explains and demonstrates duties and proper procedures in performing duties

Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving quality/customer satisfaction

Collaborates with others and cross-departmentally to improve or streamline procedures

Develops new or improves current internal processes to improve quality

Recognizes and alerts appropriate supervisor of trends within their scope of responsibility that fall outside of quality parameters

Performs self-quality monitoring to develop and execute plans to meet established goals

Provides ongoing feedback to help optimize quality performance

This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by his/her supervisor

Qualification

Pharmacy knowledgeImplementation coordinationMicrosoft Office proficiencyAnalytical skillsMulti-taskingOrganizational skillsProblem-solving skillsWritten communicationOral communicationDetail orientedConfidentiality

Required

Associates Degree from an accredited institution in a related field or equivalent experience

2+ years of experience working in a Pharmacy or Medical Setting

Remote work capabilities

Proficient mathematical, 10-key and typing skills

Working knowledge of computers and software including but not limited to Microsoft Office products

Demonstrated organizational skills, problem-solving, analytical skills and detail oriented

Demonstrated ability to remain neutral and maintain confidentiality

Strong written and oral communication skills

Demonstrated ability to work independently, prioritize workloads multi-task and manage priorities to meet deadlines

Benefits

Multiple Health plan options

Company paid employee premiums for disability and life insurance

Parental Leave Policy

20 days PTO to start / 10 Paid Holidays

Tuition reimbursement

401k Company contribution

Company paid Short & Long term Disability plus Life Insurance

Professional development initiatives / continuous learning opportunities

Opportunities to participate in and support the company's diversity and inclusion initiatives

Company

Imagine360

Imagine360 is an integrated health plan addressing one of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, they're increasingly unaffordable for employees, and the experience remains poor.

Founded in 2003

Philadelphia, Pennsylvania, USA

1001-5000 employees