$155K - $175K/yr
Product Team - Provide medical policy support for manufacturer related contracts including, but not ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
$155K - $175K/yr
Product Team - Provide medical policy support for manufacturer related contracts including, but not ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
$155K - $175K/yr
Product Team - Provide medical policy support for manufacturer related contracts including, but not ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Trinity, AL · On-site +1
$112K - $160K/yr
We are seeking a strategic and proactive Manager of State Government Relations to manage and ... Potential candidates will meet the education and experience requirements provided on the above and ...
Madison, AL · On-site +1
Ability to interact effectively with customers and build and maintain positive customer relations ... Up to 50% travel required within North America About Octave Octave provides mission-critical ...
Madison, AL · On-site +1
Ability to interact effectively with customers and build and maintain positive customer relations ... Up to 50% travel required within North America About Octave Octave provides mission-critical ...
Leverage Industry data and knowledge to evaluate the results in relation with Industry * Provide ... We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex ...
Leverage Industry data and knowledge to evaluate the results in relation with Industry * Provide ... We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex ...
In this role, you will provide comprehensive support and information to members, providers, and ... Quality Service: * Uphold the organization's philosophy of extraordinary customer relations.
In this role, you will provide comprehensive support and information to members, providers, and ... Quality Service: * Uphold the organization's philosophy of extraordinary customer relations.
Elmore, AL · Remote
$35K - $55K/yr
We are a fully remote company, which allows us to recruit top talent from across the country. Grade ... The Community Relations Manager plays a key role in ensuring high-quality service delivery across ...
Elmore, AL · Remote
$35K - $55K/yr
We are a fully remote company, which allows us to recruit top talent from across the country. Grade ... The Community Relations Manager plays a key role in ensuring high-quality service delivery across ...
... providing a full range of HR business support for all remote facilities Duties: * Proactive ... relations issues utilizing a systematic approach. * Participate in company-wide programs and ...
... providing a full range of HR business support for all remote facilities Duties: * Proactive ... relations issues utilizing a systematic approach. * Participate in company-wide programs and ...
Daphne, AL · On-site +1
We provide paid vacation after 90 days, paid holidays, 401k with a company match, medical, referral ... REMOTE WORK ELIGIBILITY AND REQUIREMENTS: Mortgage Loan Officer is eligible for remote work. This ...
Daphne, AL · On-site +1
We provide paid vacation after 90 days, paid holidays, 401k with a company match, medical, referral ... REMOTE WORK ELIGIBILITY AND REQUIREMENTS: Mortgage Loan Officer is eligible for remote work. This ...
AL · On-site +1
$40K - $55K/yr
Monitor the remote monitoring and management system alerts and notifications and respond ... Enhancing customer relations * Interpret and discuss information with others and regularly provide ...
AL · On-site +1
$40K - $55K/yr
Monitor the remote monitoring and management system alerts and notifications and respond ... Enhancing customer relations * Interpret and discuss information with others and regularly provide ...
Huntsville, AL · On-site +1
$64K - $89K/yr
Demonstrates an understanding of federal government public relations/affairs that inform creative ... providers related to larger graphics environmental efforts. * Position 2 (NTE .5 FTE, remote)
Huntsville, AL · On-site +1
$64K - $89K/yr
Demonstrates an understanding of federal government public relations/affairs that inform creative ... providers related to larger graphics environmental efforts. * Position 2 (NTE .5 FTE, remote)
Huntsville, AL · On-site +1
$64K - $89K/yr
Demonstrates an understanding of federal government public relations/affairs that inform creative ... providers related to larger graphics environmental efforts. * Position 2 (NTE .5 FTE, remote)
Huntsville, AL · On-site +1
$64K - $89K/yr
Demonstrates an understanding of federal government public relations/affairs that inform creative ... providers related to larger graphics environmental efforts. * Position 2 (NTE .5 FTE, remote)
Prattville, AL · On-site +1
$12 - $15/hr
USB headset andwired internet (Not needed to apply but required prior tostart) Benefits Position Highlights: * 100% Remote - work from your home office Compensation * Contract paytypically ranges $12 ...
Prattville, AL · On-site +1
$12 - $15/hr
USB headset andwired internet (Not needed to apply but required prior tostart) Benefits Position Highlights: * 100% Remote - work from your home office Compensation * Contract paytypically ranges $12 ...
$167K - $222K/yr
Provides support and assistance to more experienced attorneys. Provides legal advice and strategic ... Trade Relations, Client Relations, Operations and Invoicing, Pharmacy Supply Chain, IT, Analytics ...
$167K - $222K/yr
Provides support and assistance to more experienced attorneys. Provides legal advice and strategic ... Trade Relations, Client Relations, Operations and Invoicing, Pharmacy Supply Chain, IT, Analytics ...
Huntsville, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
Huntsville, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
Birmingham, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
Birmingham, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
Mobile, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
Mobile, AL · On-site +1
$118K - $133K/yr
Excellent customer relations/service skills, goal oriented, results driven * Develop excellent ... Additional information about this remote work arrangement will be provided by your interview team.
$17.75 - $20.87/hr
This position is remote anywhere in the USA. What You'll Do: * Ensure effective customer relations ... Provide feedback to management regarding customer problems, questions and needs. Maintains accurate ...
New
$17.75 - $20.87/hr
This position is remote anywhere in the USA. What You'll Do: * Ensure effective customer relations ... Provide feedback to management regarding customer problems, questions and needs. Maintains accurate ...
New
$17.75 - $20.87/hr
This position is remote anywhere in the USA. What You'll Do: * Ensure effective customer relations ... Provide feedback to management regarding customer problems, questions and needs. Maintains accurate ...
New
$17.75 - $20.87/hr
This position is remote anywhere in the USA. What You'll Do: * Ensure effective customer relations ... Provide feedback to management regarding customer problems, questions and needs. Maintains accurate ...
New
Birmingham, AL · On-site +1
... or remote. Job Responsibilities Include: * Manage and provide leadership to a team of ... Excellent interpersonal and human relations skills. Able to work with people of varied technical ...
Birmingham, AL · On-site +1
... or remote. Job Responsibilities Include: * Manage and provide leadership to a team of ... Excellent interpersonal and human relations skills. Able to work with people of varied technical ...
As a Remote Provider Relations specialist, your primary duties usually involve establishing and maintaining relationships with healthcare providers, addressing their questions and concerns, and ensuring they are satisfied with network participation. You’ll regularly communicate via phone, email, and virtual meetings, coordinate credentialing or contract renewals, and resolve issues related to claims or billing. Collaboration with internal teams like credentialing, contracting, or customer service is also common, allowing for a team-oriented approach to provider support. This role requires proactive outreach, attention to detail, and the ability to manage multiple tasks simultaneously while working independently from a remote location.
A Remote Provider Relations job involves managing relationships between healthcare providers and an organization, such as an insurance company or healthcare network, from a remote location. Responsibilities typically include onboarding new providers, addressing concerns, ensuring compliance with contracts, and facilitating communication between providers and the organization. This role requires strong communication, problem-solving, and organizational skills to maintain positive partnerships and efficient service delivery.
To thrive as a Remote Provider Relations specialist, you need strong interpersonal communication, negotiation skills, and a solid understanding of healthcare networks or insurance regulations, often supported by a relevant bachelor's degree. Familiarity with CRM software, provider management systems, and proficiency in virtual meeting platforms are often essential. Excellent problem-solving abilities, organizational skills, and a proactive attitude help professionals excel in building and maintaining provider partnerships remotely. These competencies ensure effective network development, prompt issue resolution, and sustained provider satisfaction in a virtual work environment.

$155K - $175K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 15 days ago
Primary Job Functions
Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Partner with the following stakeholders:
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
Client Relations - Serve as Trade's primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade's leadership
Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Invoicing Team - Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
Product Team - Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs
Education, Experience, and Certification
Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
Knowledge, Skills, and Abilities
Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans
Experience with contract language and risk mitigation concepts
Travel Requirements: Up to 10% of the time.
Work is generally performed in a remote setting.
#LI-Remote
$155,000.00 - $175,000.00This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.
We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.