Managed Care Contract Support Specialist

Publix Super Markets Lakeland , FL 33810

Posted 4 days ago

Description

If you want to solve exciting problems related to the healthcare industry, and enjoy the stability of a Fortune 100 company, then the Publix Managed Care team may be right for you! We are a dynamic and engaging team that plays a pivotal role in the success of Publix Pharmacy and the Managed Care Contract Support Specialist serves as the subject-matter expert in the contracting process for the Managed Care Contracting Team in the Pharmacy Department. The Managed Care Contract Support Specialist is responsible for optimizing the contracting workflow and will collaborate with internal and external stakeholders to drive progress and results on various business initiatives.

Job responsibilities:

  • Oversee Managed Care pharmacy contract process, maintaining accurate contract records

  • Develop and implement processes and procedures for recurring business needs

  • Assist with Pharmacy credentialing and attestations

  • Ensure accurate and timely payment of vendor invoices

  • Ensure prescription claims process for all new Pharmacy openings

  • Collaborate with the Publix Licensing team for accuracy on store opening files

  • Coordinate and optimize contract reconciliation efforts with internal and external stakeholders

Additional Information

Your application may have additional steps that you will need to complete in order to remain eligible for consideration. Please be sure to monitor your email, including your spam folder, on a daily basis for critical, time-sensitive emails that could require action within 24-48 hours.

Please do not use your Publix email address when applying. Once your application has been successfully submitted you will receive a confirmation email.

Please note that Publix will not sponsor any hire for this position for a visa or permanent residence.

Required Qualifications

  • Associate degree

  • 2 years Pharmacy experience and/or 2 years' experience working with legal documents (e.g., contracts, subpoenas, etc.)

  • Basic skills in Microsoft Word, Excel, PowerPoint, and Access

  • Ability to work nights, weekends and extended hours as needed

Preferred Qualifications

  • Bachelor's degree

  • 4-years of administrative experience working with legal documents (e.g., contracts, subpoenas, etc.) and/or 4-years of pharmacy experience

  • Pharmacy Technician Certification (PTCB)

  • Intermediate skills in Microsoft Access, Excel

  • Advanced skills in Microsoft Word

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