Pharmacy Relations Specialist

US Claro

Pharmacy Relations Specialist managing pharmacy contracts, resolving issues, and maintaining networks. Responsible for contract processes and data management within the healthcare sector.

Posted 5/28/2026full-timeRemote • Idaho • 🇺🇸 United StatesMid-LevelSenior💰 $22 - $26 per hourWebsite

About the role

Key responsibilities & impact

Make decisions regarding the resolution of pharmacy issues
Establish and maintain contracts with pharmacy providers
Facilitate submittal, receipt, tracking, and process flow of contracts between Navitus and providers
Accurately enter information and maintain contract database
Generate reports on network performance to monitor the claims accuracy throughout the terms of the contract
Responsible for creating networks based on the contract terms within the claims processing system and ensure accuracy with performing quality reviews
Assist in resolving intricate pharmacy provider issues and complaints
Coordinate pharmacy network communication efforts including collection of content, disseminating information to provider partners through appropriate channels, and tracking response metrics
Other duties as assigned

Requirements

What you’ll need

College or 2-year Technical Degree or equivalent experience is preferred.
Advanced technical education a plus
Certified Pharmacy Technician license preferred
1-3 years of successful experience in a customer service role
Knowledge of PBM or health care industry preferred
PC skills: Microsoft Office, Email, Internet, and other applications as required
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Benefits

Comp & perks

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract managementclaims processingdata entryreport generationquality review

Soft Skills

customer serviceproblem resolutioncommunicationcooperationrespectfulness

Certifications

Certified Pharmacy Technician