Pharmaceutical Associate

Description

Summary: Seeking a Pharmaceutical Associate to manage medication-related insurance operations, pharmacy claims processing, and formulary management. Highlights: 1. Support medication insurance operations and claims processing 2. Coordinate with healthcare providers on prescribed medications 3. Ensure compliance with health insurance regulations We are looking for a **Pharmaceutical Associate** with 2–3 years of relevant pharmaceutical experience to support medication\-related insurance operations, pharmacy claims processing, and formulary management. **Key Responsibilities** * Review pharmacy\-related insurance claims for accuracy and policy compliance. * Process medication pre\-authorizations and approvals. * Coordinate with pharmacies, hospitals, and physicians regarding prescribed medications. * Verify formulary coverage and recommend alternative medication options where applicable. * Review prescriptions against insurance policy benefits and exclusions. * Resolve pharmacy claim rejections and discrepancies. * Support fraud detection by identifying unusual medication claims. * Maintain pharmacy and medication databases in coordination with clinical teams. * Prepare pharmacy utilization and cost analysis reports. * Ensure compliance with MoPH and Qatar health insurance regulations. **Requirements** * Bachelor's Degree in Pharmacy (B.Pharm) or Doctor of Pharmacy (Pharm.D.). * **2–3 years of relevant pharmaceutical experience.** * Strong knowledge of pharmaceutical products and pharmacy practices. * Understanding of health insurance claims and pharmacy benefit management. * Knowledge of pharmacy information systems. * Excellent analytical, communication, and documentation skills. * Qatar pharmacist license or eligibility for Qatar pharmacist licensing is an advantage. **Contract Duration: 6 Months** Application Question(s): * Do you have experience handling pharmacy claims, medication approvals, or health insurance operations? * Are you available to join a 6\-month contract in Qatar? Work Location: In person