Provider Relations Specialist

Job Overview

Position Overview: The Provider Relations Specialist role involves handling pharmacy network operations and inquiries, maintaining provider contracts, managing data requests, and serving as a liaison between the pharmacy benefit manager and various stakeholders, with opportunities to work remotely or from offices in Dubuque, IA or Kansas City, MO.

About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.

What You'll Do:

• Field and resolve pharmacy inquiries accurately and timely
• Interpret and execute on pharmacy network reporting requests and requirements
• Facilitate submittal, receipt, tracking, and process flow of contracts between MedOne and providers
• Accurately enter information and maintain contract database
• Coordinate pharmacy network communications
• Develop a thorough understanding of the network structure of MedOne’s clients
• Research and resolve pharmacy payment inquiries
• Independently fulfill data/reporting requests from internal and external stakeholders
• Participate in process improvement and automation initiatives, both internal and interdepartmental
• Maintain and adhere to a list of service standards for the Provider Relations team; track the team’s performance versus the team’s service standards
• Attend industry conferences, trade shows, and meetings (e.g., NCPDP) as necessary for continuing education
• Work with minimal guidance
• Assist with other Strategic Pricing departmental and company-wide projects and duties as needed
• Portray the company in a positive image
• Required to abide by all rules, regulations and policies of the employer

What You Will Bring to MedOne:

• Well-organized, self-directed and able to work with minimal amount of supervision
• Highly detail-oriented and responsive with ability to monitor inbound inquiries and respond quickly, thoroughly and accurately
• Ability to multi-task, managing multiple projects/priorities daily
• Excellent research, follow-up, documentation and issue-resolution skills
• Ability to exercise considerable judgment, maintain confidentiality and act in a diplomatic manner
• Motivated to meet and exceed expectations
• Ability to communicate effectively with all levels within an organization, as well as external stakeholders
• Ability to work extended hours, weekend, and holidays as needed pursuant to industry demand 

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. Our top core value is to prioritize your well-being. To support you in living this value, we offer:

• Competitive salary and bonuses that reward your performance.
• Comprehensive health, dental, and vision insurance + additional benefits
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.

Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States. 

Employment Type: Part Time, Hourly

Reports to: Senior Director of Strategic Pricing

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page. 

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.