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Pharmacy Agreement Coordinator – Provider Services & Claims Administration

Work from home Full-time role Hiring

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.

Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

Alberta Blue Cross® is currently seeking an enthusiastic individual for a temporary position to join our Provider Services & Claims Administration team team working in a flexible work style arrangement. Reporting to the Team Manager, the Pharmacy Agreement Coordinator manages the granting of Alberta Blue Cross® Agreements to qualifying pharmacy providers nationwide, following our established policies and procedures. This role is also responsible for coordinating, verifying, and updating information related to pharmacy providers and prescribers, while serving as a point of contact for both internal and external stakeholders as needed.

WHAT YOU WILL DO:

  • Ensures all necessary steps are taken to validate application details to determine eligibility.

  • Tracks the progress of all applications and resolves application related issues in a timely and professional manner.

  • Handles incoming phone inquiries and initiates contact when needed to appropriately manage applications.

  • Prepares and distributes Agreements and related documentation.

  • Provides quality customer service to internal departments and external stakeholders on issues related to pharmacy provider eligibility. 

  • Enter and maintains information related to pharmacy providers and prescribers within our systems.

  • Reviews and takes appropriate action on notifications and requests received from stakeholders.

  • Make suggestions to improve workflows and processes.

  • Works closely with Team Manager and other Pharmacy Agreement Coordinators in a team-oriented environment.

WHAT YOU WILL HAVE:

  • Deals effectively and professionally with internal and external customers.

  • Has exceptional attention to detail and accuracy with a desire for continuous learning.

  • Excellent interpersonal skills together with strong verbal and written communication.

  • Able to meet fluctuating timelines and prioritize workload, while maintaining organization and accuracy.

  • Demonstrated analytical, problem-solving, and decision-making capabilities.

  • Flexible and adaptable to changing workload requirements.

  • Must be a strong team player and able to work with minimal supervision.

  • Experience in a similar role would be an asset.

  • Computer proficiency with Microsoft Word, Excel and Outlook is essential. Exposure to Access would be beneficial.

This position will remain open until a suitable candidate is selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment. If you have the qualifications we are looking for, apply online at careers.ab.bluecross.ca

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