Expired: over a month ago. Applications are no longer accepted.
The Pharmacy Network Supervisor reports to the Network Manager and is responsible to lead all implementation efforts and manage business relationship between Company, plan sponsors, network participants and delegated entities in Puerto Rico and USA. Support the relationship between Company and all pharmacy networks,Retail, Specialty, and HUB participants for Puerto Rico and USA.Build trusted relationships with plan sponsor and network pharmacies by providing support for contracting implementation and access issues.Review, design, and execute changes to new and existing Pharmacy Network configurations.Implement and monitor pharmacy networks, Retail, Specialty, and HUB against contracted Service Level AgreementsEnsure the appropriate implementation of any updates to the pharmacy directory in compliance with quality guidelines and sponsor expectations.Implement service monitoring of delegated entities (ei. HUB Call Center) and track against established goals.Monitor compliance with sponsor contract conditions and recommend corrective action plans for identified gaps.Conduct network assessments and provide management with recommendations to include/exclude pharmacies from network.Support the resolution of any pharmacy complaints and work with the appropriate internal department for a prompt resolution.Ensure any changes in network composition is displayed in directories and updated in PacMan database. Audit all reports shared with internal and external parties.Support the preparation and presentation of internal and select client requests for reports or analysis including, but not limited to utilization, directories, paid claims reports, and status reports.Prepare for and participate in Company client communications, including conference calls and on-site meetings. Support all Quality Management Program initiatives.Manage assigned employees providing coaching and development plans modelling Company values. Establishes responsible deadlines and personnel work plans; manages time effectively.Utilize verbal and written communication to drive/direct team?s performance.Other projects and duties as assigned by the Network Manager. AppleOne is proud to be an Equal Opportunity Employer. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment qualified applicants with arrest and conviction records.