Provider Relations Advisor, Retail Accountant Management -Express Scripts

Provider Relations Advisor, Retail Account Management

POSITION SUMMARY

The Provider Relations Advisor role is part of the Retail Account Management team that sits within the Network Compliance organization.

The primary responsibility of this role is to manage a portfolio of Chain and PSAO pharmacy providers with complex escalated issues, provide education to these providers and deliver performance data and metrics.

This role requires a high volume of issue research and resolution on a daily basis for internal and external partners.

The Retail Account Manager also supports execution of operational activities with Retail Network in accordance with ESI's work plan and ensures compliance with requirements for Express Scripts clients and any regulatory agencies, while supporting the needs of chain providers.

This role also supports Supply Chain Sr.

Management in the execution of strategic plans within our network.

This role is required to work independently to lead, own and manage the relationship of assigned chain and PSAO pharmacy providers.

Managing the relationship is complete with performance management in strategic planning, analytical development and processing, as well as operational management of any requirements that impact Retail Network Providers.

This role is also required to champion cross-functional issue escalations/resolution; communicate progress and key milestones to appropriate internal partners in a timely manner.

ESSENTIAL FUNCTIONS


* Responsible for the relationship and daily operational support of complex/high profile chain and PSAO providers.

Operational support includes, but not limited to, claim investigation, escalated issue management.


* Responsible for cross functional collaboration with internal and external teams and provide on-going support for Health Plan Sponsors and their requirements


* Work with appropriate teams for data mining and analysis of files to ensure efficient and effective communication to Providers.


* Serves as subject matter expert for team on analytics and technical support.


* Execution of assigned strategic work plan initiatives including but not limited to network development, implementing initiatives benefiting Express Scripts clientele and promoting Corporate and Departmental objectives.


* Assists with development of strategic plans for assigned providers, providing consultative input to further foster strong provider relationships.


* A key extension of the Provider Strategy and Contracting Management teams- supporting channel development program launches and communication of program implementation and status.

QUALIFICATIONS


* Bachelor's degree in related field preferred.


* At least 3 years of related experience.


* Knowledge of the health-care, PBM industry and products.


* Excellent oral, written communication and presentation skills.


* Problem solving and analytical skills.


* Project management/organizational skills.


* A...