Associate Director, Denials and Appeals
Natera
Pharmacy Operations Support
Recruiting.com
full-time
Posted on:
Origin: • 🇨🇦 Canada
Visit company websiteJob Level
JuniorMid-Level
About the role
- Assist in execution of corporate-wide pharmacy strategies and standardization of practices across national network
- Perform duties and tasks as assigned by manager
- Address Innomar Pharmacies questions (pending fees, copays, delivery issues, inventory, reports and reconciliation, insurance audits, compliance, audit reviews)
- Maintain reports: collect operational reports from Innomar Pharmacies, consolidate reports for clients, review for accuracy, follow-up on discrepancies
- Assist with Pharmacy Initiatives: retro-billing tracking, reconciliation of inventory and transactions, communication with pharmacies, assist creation and update of SOPs and process flows
- Assist in launch of new products/programs and collaborate with Programs, Clinics, and Pharmacies
- Communicate new program information, contact lists, process flows, training, and documents and provide feedback on launches
- Provide typed documentation of communications relevant to strategies, initiatives, and projects to all departments
- Ensure necessary training distributed to Innomar Pharmacies is completed; assist training department with names of employees requiring training and certifications (e.g., CAPHO)
- Assist in maintaining pharmacy software to ensure standardization across the organization
Requirements
- High school diploma required; Post-Secondary Pharmacy Technician Program preferred
- Two or more years of related pharmacy experience
- Experience with pharmacy adjudication is an asset
- Experience calculating benefit usage balances, co-pays, days of supply, and other health insurance calculations
- Experience in a healthcare or pharmacy setting
- Proficiency in Microsoft Office applications (Outlook, Word, Excel)
- Extensive experience with Pharmacy Systems
- Organized with ability to multi-task and maintain accuracy
- Excellent knowledge of pharmacy operations
- Excellent communication, customer service and interpersonal skills
- Ability to work independently and in a team environment
- Excellent time management skills
- Bilingualism (French/English) is an asset
- Strong analytical and mathematical skills
- Effective oral and written communication skills
- Interpersonal and relationship management skills
- Ability to collaborate cross-functionally
- Organizational skills and attention to detail
- Ability to consistently meet deadlines
- Excellent problem-solving skills
- Knowledge of Microsoft Word, Excel, PowerPoint and other Office programs
- May be required to lift up to 50 lbs.
