Prescription Services Implementation Coordinator

Imagine360 is currently seeking a Prescription (RX) Services Implementation Coordinator. The Prescription (RX) Services Implementation Coordinator is responsible for managing the end-to-end pharmacy setup requirements for all new clients, and current clients making changes to their pharmacy benefits. This includes coordination with external Prescription Benefit Manager (PBM) partners, communicating with internal stakeholders, tracking status updates, acting as the subject-matter-expert for a client's pharmacy benefits, and providing approval on required pharmacy documentation.

Position Location: 100% Remote

Responsibilities include but are not limited to:

• Lead implementation calls with PBM partners to support new client pharmacy setups.
• Coordinate pharmacy benefit changes for current clients with internal and external stakeholders.
• Ensure accurate setup of required eligibility, claims, and/or accumulator files between i360 and the PBM partners.
• Provide status updates to internal stakeholders for all ongoing pharmacy setups.
• Audits plan set up/changes for accuracy. Coordinates eligibility with the PBM.
• Review and approve client ID cards and plan docs to ensure accuracy on behalf of Rx Services.
• Resolve any Helpdesk tickets or Client Change Requests assigned to the Rx Services queue.
• Coordinate with internal IT teams to address and resolve any required pharmacy file transmission issues with clients.
• Appropriately escalates difficult issues up the chain of command.
• Trains new employees/and cross departmentally as assigned.
• Explains and demonstrates duties and proper procedures in performing duties.
• Serves on committees, work groups, and/or process improvement teams, as assigned, to assist in improving quality/customer satisfaction.
• Collaborates with others and cross-departmentally to improve or streamline procedures.
• Develops new or improves current internal processes to improve quality.
• Recognizes and alerts appropriate supervisor of trends within their scope of responsibility that fall outside of quality parameters.
• Performs self-quality monitoring to develop and execute plans to meet established goals.
• Provides ongoing feedback to help optimize quality performance.
• This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties requested by his/her supervisor.

Required Experience / Education:

• Associate degree or equivalent experience required.
• Bachelor's degree or equivalent preferred.
• Two years of experience in healthcare, pharmacy or direct patient care setting.
• Two years of experience in pharmacy or medical setting preferred.
• Experience in an implementation or project coordination role
• Remote work capabilities.
• Proficient mathematical, 10-key and typing skills.
• Working knowledge of computers and software including but not limited to Microsoft Office products.
• Demonstrated organizational skills, problem-solving, analytical skills and detail oriented.
• Demonstrated ability to remain neutral and maintain confidentiality.
• Strong written and oral communication skills
• Demonstrated ability to work independently, prioritize workloads multi-task and manage priorities to meet deadlines.

What can Imagine360 offer you?

• Multiple Health Plan Options, including a 100% Employer Paid Benefit Options
• 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance
• Parental Leave Policy
• 20 days PTO to start / 10 Paid Holidays
• Tuition reimbursement
• 401k Company contribution
• Professional development initiatives / continuous learning opportunities
• Opportunities to participate in and support the company's diversity and inclusion initiatives

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Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.

Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited, and no fee will be payable. Thank you for your cooperation**