Pharmacy Network Specialist

Apply Job Type Full-time Description TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care. Did we mention Amazing Care ? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy. And there is a reason that our company has been named the #1 Best Place to Work (for medium-sized employers) in Indiana for the past three consecutive years! Our team members enjoy: A wide range of health insurance options including medical, dental and vision A strong salary and bonus program A robust 401k and company match Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan! Employee Assistance Program A wellness program including financial incentives, chiropractic and massage services, and fitness stipends Dream Manager Program (yes, it’s a real thing!) A cohesive, family-based culture Charitable contributions and volunteer time Lots of celebrations! Position Overview: TrueScripts Management Services provides prescription benefit management expertise at a personal and customized level to ensure optimum value at the lowest possible costs for clients all around the US. This position will be responsible for management and communications of pricing matters to pharmacy, State regulatory agencies, internal and external members, and client personnel. This position will develop knowledge of claim adjudication process utilizing NCPDP standards and contribute to the development of pharmacy manual and support the pharmacy network team, implementation, and claims reconciliations teams. Responsibilities include: Develop, implement, and maintain comprehensive knowledge of Cervey and pharmacy networks and pricing. Serve as a subject matter expert and resolution with pharmacy setup and pricing in Cervey. Represent Operations on cross-functional teams and projects, ensuring alignment and collaboration across departments. Collaborate with other departments to identify training process improvement within operations. Maintain up-to-date knowledge of industry’s best practices and incorporate them into daily business. Serve as the subject matter expert on Pharmacy setup, Pharmacy Pricing and Cervey. Serve as the subject matter expert to the pharmacy help desk team, to address all questions as it relates to pharmacy setup and pricing. Requirements High school education or GED is required. Bachelor's degree in business administration or a related field is preferred. Minimum of 3 years of experience in operations, training, or a related role within a PBM or busy retail pharmacy. Strong knowledge of customer service principles and practices. Knowledge of pharmacy claim adjudication processes, or NCPDP payer sheet details is preferred Excellent communication and interpersonal skills. Ability to work effectively in a team environment and manage multiple projects simultaneously. Proficiency in Microsoft Office Suite and other relevant software. May require occasional travel to the Corporate office <15%. Skills: Leadership and management skills. Problem-solving and decision-making abilities. Strong organizational and time management skills. Ability to adapt to changing priorities and work under pressure. High level of attention to detail.