Compliance Manager

2 weeks ago


Evansville, Indiana, United States RemX | The Workforce Experts Full time

**Field Reimbursement Specialist for Retail Pharmacy**

RemX | The Workforce Experts is seeking a skilled Field Reimbursement Specialist in Retail Pharmacy to join our team.

  • Expertise in prior authorizations, appeals, and working denials, with experience in territory management.
  • Ability to train and educate provider office staff.
  • Field/travel position covering a territory, requiring local payor landscape knowledge.
  • Experience with escalations, education, and reimbursement processes.

Key Responsibilities:

  • Manage a territory of Retail Pharmacy clients.
  • Develop and maintain relationships with providers and their staff.
  • Provide education on reimbursement processes and policies.
  • Assist with prior authorizations, appeals, and denials.

Requirements:

  • Proven experience in Retail Pharmacy and Specialty Pharmacy.
  • Knowledge of local payor landscape, including Medicare and Medicaid.
  • Ability to work independently and as part of a team.
  • Excellent communication and interpersonal skills.


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