Specialist II, Pharmacy Relations

🕒 September 10

🇺🇸 United States – Remote

💵 $48.7k - $58k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💊 Pharmacist

🚫👨‍🎓 No degree required

👻 Ghost score 5%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Navitus Health Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

💼 Consulting

🛡️ Insurance

🏥 Healthcare

Consulting • Insurance • Healthcare

Navitus Health Solutions is a pharmacy benefit manager (PBM) that provides transparent, people-centered pharmacy benefit solutions to health plans, employers, government programs and other plan sponsors. The company operates a 100% pass-through, cost-plus model that emphasizes lowering medication costs, managing formularies, specialty drug management (including a cost-plus specialty pharmacy), claims adjudication, pharmacy network management, and member enablement and support services. Navitus positions itself as a fiduciary partner focused on affordability, compliance, clinical quality and improving health outcomes through tailored PBM services and digital health integrations.

📋 Description

• Manage pharmacy contracting processes with independent pharmacies and select chains/PSAOs • Assist management with network negotiations, including redline reviews • Review pharmacy contract setup for compliance with pharmacy network agreements • Support pharmacy audits and network compliance initiatives • Research and resolve claim issues and concerns • Respond to and track requests, inquiries, and communications with network pharmacies • Develop, review, and distribute pharmacy communications for internal and client requests • Monitor, track, and report pharmacy compliance with government regulations and internal policies and procedures • Review and respond to independent pharmacy redlines with little to no input from senior leadership • Maintain pharmacy network functions, including network plan design builds, quality assurance measures, and claims processing • Perform other duties as assigned

🎯 Requirements

• At least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare • College or 2-year Technical Degree or equivalent experience is preferred • Advanced technical education a plus • Certified Pharmacy Technician preferred • 3 years business-setting experience • Retail pharmacy experience or experience in a managed care pharmacy setting desired • Prior experience analyzing medical and/or pharmacy claims or credentials highly desired • Proficient in Microsoft Office and industry related software • Participate in, adhere to, and support compliance program objectives • Ability to consistently interact cooperatively and respectfully with other employees • Residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming are not eligible for remote work

🏖️ Benefits

• 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% with no vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan • Professional Membership assistance • Referral Bonus Program – up to $750%