Job Description

Job Summary :

Responsible for the update, maintenance, auditing, and operation of third party prescription plans including Commercial, Government, 340B and Walgreens Direct Bill contracts. Enters plans into pharmacy system and provides issue resolution and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber and prescriptive authority tickets, proper processing of prescription claims including order of claims processing for government payers. Ensures claims meet National Council for Prescription Drug Programs (NCPDP) HIPAA compliant standard and values supported, creates Job Aids and field communications.

Job Responsibilities: