Program Support Specialist Jobs

Position:Program Support Specialist

Location: Hybrid role//Orange, CA 92868/come into office 2 days a week (set days Wednesday/Thursday) Remote other day of week.

Duration:5 MonthsContract (Possibility Extension)

Job description:

Primary Duties And Responsibilities:

• Tracks down missing checks and 835’s from PBMs
• Confirms customers have entered banking information and monitors banking status on website.
• Updates pharmacy customers’ account records and collection efforts
• Processes refunds for PBMs, funds on Hold and serves as back up for daily funds release.
• Confirms and loads pharmacy customer information and holds on funds into the Central Pay website.
• Coordinates the complete Central Pay Services implementation for pharmacy customer enrollment or dis-enrollment in Elevate Provider Network.
• Completes special projects as assigned.
• Provides assistance for pharmacy customers with questions and issues including accounting/reconciliation issues/funds on hold/debts.
• Locate and contact customers regarding outstanding debts.
• Serves as escalation point for Central Pay issues.
• Serves as liaison with Reconciliation Vendors and FDS payment processor.
• Monitors accounts to identify outstanding debts
• Documents processes and procedures.
• Provides assistance to customers Central Pay website issues.
• Performs related duties as required.
• Serves as contact person for Central Pay vendor partners and Pharmacy Benefit Managers (PBMs).

Experience and educational requirements:

• Requires broad training in fields such as business administration, accountancy, sales, finance/economics, computer sciences or similar vocations generally obtained through completion of a four-year Bachelor's degree or equivalent work experience; Experience in retail pharmacy support, including knowledge in dealing with PBM claims processing, payment processing and reconciliation, preferred.

Minimum skills, knowledge and ability requirements:

• Ability to work under pressure to balance competing priorities and to meet time sensitive deadlines
• Strong computer skills necessary to operate effectively with company systems and programs
• Pharmacy Benefit Management or PSAO background, preferably with pharmacy reconciliation experience.
• Ability to communicate effectively both orally and in writing; interacts with all levels of associates and management within and outside the organization.
• Knowledge of products, programs and services preferred
• Strong interpersonal skills
• Strong navigation of multiple systems and the consolidation of data from various sources
• Strong organizational and analytical skills; attention to detail
• Ability to interpret complex material into easily understood analysis
• Excellent customer service management skills
• Experience with relational databases and knowledge of query tools and/or statistical business intelligence software (e.g., Micro Strategy) is required.
• Contract document management (WORD, POWERPOINT) and financial analytical skills (EXCEL) required.
• Familiarity with NCPDP field formats and Payor contract retail pharmacy reimbursement terms
• Must have experience with extracting data from Salesforce or similar.

Work environment:

• The noise level in the work environment is generally quiet.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
• The work environment characteristics described here are representative of those an associate encounter while performing the essential functions of this job.

Physical and mental requirements:

• Ability to deal with stressful situations as they arise.
• The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.
• Visual requirement is for close vision, distance vision, peripheral vision and ability to adjust focus.
• Sedentary physical activity requiring reaching, sifting, lifting, finger dexterity, grasping, feeling, repetitive motions, talking and hearing.
• Associate is frequently required to stand, walk (or otherwise be mobile).
• 75% or more time is spent looking directly at a computer.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions: