Ursula Henry

Pharmacy Network Specialist:

The Pharmacy Network Specialist is responsible for all phases of the Preferred Provider Network relationship, support of the day-to-day operations of the network and cultivating relationships with pharmacy representatives, client representatives and internal stakeholders.

PersonalMed™ is a high performance network of compounding pharmacies that agree to comply with, and are held to the strictest credentialing standard.

•Develops relationships with manage network pharmacies
•Primary contact person to resolve all contracting, credentialing, auditing and other operational issues with pharmacies, clients and other vendors.
•Coordinates with internal stakeholders to ensure contractual terms are acceptable across functional business units
•Collaborates with marketing and sales to develop targeted solicitation of pharmacy network participation in designated service areas
•Collaborates with internal teams to develop, implement and enforce stringent auditing services designed to detect/prevent fraud, waste and abuse and regulatory and contractual standards
•Maintenance of pharmacy contract database
•Internal subject matter expert on internal pharmacy service needs and accounting requirements
•Responsible for the review and approval of network pharmacies
•Addresses departmental plans and priorities to address business and operational challenges
•Involved in forecasting and planning activities
•Provides supports in regards to pharmacy termination appeals and corrective action plan(s)
•Responds to alleged pharmacy violations of rules, regulations, policies, procedures, and collaborates with other departments to address compliance issues through appropriate existing channels for investigation and resolution
•Provides reports on a regular basis, as directed or requested, to keep senior management informed of the operation and performance of the network