Provider Relations Specialist

A company is looking for a Provider Relations Specialist - Remote.

Key Responsibilities

Research and resolve pharmacy inquiries, including drug pricing analysis and remittance requests

Manage and draft communications from internal stakeholders to providers

Evaluate claims payment, billing inquiries, and maintain electronic transaction files

Required Qualifications

Bachelor's degree in Business or related field, or equivalent experience; High school diploma or GED required

2 years of experience in a call center, customer service, operations, retail pharmacy, or Pharmacy Benefit Management (PBM)

Must be eligible to work in the United States without visa sponsorship

Experience with confidential data and maintaining privacy

Proficiency in Microsoft Word and Excel