Guardian Pharmacy is a fast-growing company seeking top talent. We are looking for a 3rd Party Contracting, PBM and Licensing Specialist to join our fast-paced, growing team. We need someone who understands the importance of our challenges, and also has the drive to make an impact as we achieve our goals.
As a key member of the Atlanta Support Services team, you will support the pharmacies on 3rd party contracting and managment. Assist with licensing for new pharmacy aquisitions/start-ups and changes to existing pharmacy locaitons and ownership changes.
Our ideal candidate will come from a team oriented environment, and will have the following attributes:
- Perform well under pressure
- Strategy and Planning
- Good critical thinking skills/Problem solving
- Integrity
- Passion for details
- Proactive and reactive thinking
- A global view
- Work ethic/integrity
ESSENTIAL JOB FUNCTIONS (include the following):
- Assist with 3rd party contracting and administration for Commercial, Medicare, Medicaid, and Hospice insurances
- Audit support and advice to pharmacies for 3rd party insurance audits
- Research new markets for licensure and reimbursement unique to those states
- Research changes to CMS, State or commercial programs and their effect to the company
- Attend industry & trade meeting, including NCPDP workgroups
- Assist with various licensing projects for new and existing pharmacies, moves, expansions, rebranding, and change of ownership
- In coordination with purchasing, partner on various analytic projects related to 3rd party reimbursement, including 3rd party plan analysis, rebates, PDP roadmap overview, expense tracking, and Med D benchmarking
- Assist with compliance initiatives, including credentialing, FWA attestations, HIPAA training and enrollment of new hires, tracking renewals, and HQAA
- Assist with Med B portal, credit applications, and vendor relations
- Visit pharmacies periodically to provide on-site training and advice for the pharmacy leadership team
- Work with other ATL departments on projects as needed
- Other essential functions and duties may be assigned as needed
EDUCATION AND/OR CERTIFICATIONS
- Bachelors Degree -business related, or equivalent experience
SKILLS AND QUALIFICATIONS:
- 5+ years of related experience; advanced degree may substitute for experience
- Advanced computer skills including Microsoft Office (Word, Excel, Access, Outlook) and internet research skills
- Ability to work independently and deliver to deadlines while maintaining productivity and efficiency
- Ability to solve problems with minimal direction
- Strong attention to detail and analytical skills
- Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines
- Quality minded; motivated to seek out errors and inquire when something appears inaccurate
ATTRIBUTES REQUIRED:
- Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
- Relational – ability to build relationships with business unit management and become “trusted advisor”
- Strategy and Planning – ability to think ahead, plan and manage time efficiently
- Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level
- Team Oriented – ability to work effectively and collaboratively with all team members
LANGUAGE SKILLS:
- Ability to communicate clearly and concisely in verbal and written form
- Strong communication skills and a customer service attitud
- Comfortable with executive level communication
- Must be able to frequently communicate with customers and/or with others about customer’s requirements, complaints, and common inquiries.
Full-Time employees working 30+ hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO.
All employees are eligible to enroll in our company matched 401(k) plan.
