Pharmacy Relations Specialist II

Navitus Health Solutions

. Manage pharmacy contracting process with independent pharmacies and select chains/PSAOs and assist management with network negotiations, including redline reviews .

Posted 11/11/2026full-timeRemote • United StatesMid-LevelSenior💰 $48,729 - $58,010 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in pharmacy contracting processes, compliance monitoring, and claims analysis while effectively communicating with network pharmacies. Proficient in managing pharmacy network functions and supporting compliance initiatives within healthcare settings.

Highest-signal resume keywords

Pharmacy ContractingClaims AnalysisCompliance MonitoringRetail Pharmacy ExperienceCertified Pharmacy Technician

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Pharmacy Contract SetupClaims ProcessingNetwork Plan DesignQuality Assurance MeasuresPharmacy AuditsMedical Claims AnalysisPharmacy Credentialing

Soft Skills

Problem SolvingCooperative InteractionRespectful Communication

Tools & Technologies

Microsoft OfficeIndustry Related Software

Certifications & Qualifications

Certified Pharmacy Technician

Industry Keywords

HealthcareManaged Care PharmacyPharmacy Network AgreementsGovernment RegulationsCompliance Program Objectives

About the role

Key responsibilities & impact

Manage pharmacy contracting process with independent pharmacies and select chains/PSAOs and assist management with network negotiations, including redline reviews
Review pharmacy contract setup to ensure compliance with pharmacy network agreements
Support pharmacy audits and network compliance initiatives
Research and problem solve to resolve claim issues and concerns
Respond to and track requests, inquiries, and communications with network pharmacies
Develop, review, and distribute pharmacy communications to meet internal and client requests
Monitor, track, and report pharmacy compliance with guiding government regulations and internal policies and procedures
Review and respond to independent pharmacy redlines with little to no input from senior leadership
Maintain pharmacy network functions, including network plan design builds, quality assurance measures, and claims processing
Perform other duties as assigned

Requirements

What you’ll need

At least 2 years of successful experience working in a pharmacy or interfacing directly with pharmacies or accounts, preferably in healthcare
College or 2-year Technical Degree or equivalent experience is preferred
Advanced technical education a plus
Certified Pharmacy Technician preferred
3 years business-setting experience
Retail pharmacy experience or experience in a managed care pharmacy setting desired
Prior experience analyzing medical and/or pharmacy claims or credentials are highly desired
Proficient in Microsoft Office and industry related software
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Benefits

Comp & perks

Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!