Description
Summary:
Seeking a Pharmaceutical Associate with 2-3 years experience for medication-related insurance operations, pharmacy claims processing, and formulary management.
Highlights:
1. Support medication-related insurance operations
2. Process pharmacy claims and manage formulary
3. Ensure compliance with health 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.
* **Arabic Speaking is Mandatory**
* Qatar pharmacist license or eligibility for Qatar pharmacist licensing is an advantage.
**Contract: 6 Months**
Pay: QAR2,326\.43 \- QAR6,551\.01 per month
Application Question(s):
* This Job is 6 Months and Extendable. Are you Interested?
Language:
* Arabic (Required)
License/Certification:
* QID (Required)
Work Location: In person