Pharmacy Associate

Job Description – Pharmacy Associate Job Title

Pharmacy Associate

The Pharmacy Associate is responsible for supporting pharmacy-related operations by reviewing medication claims, processing pre-authorizations, verifying formulary coverage, and coordinating with pharmacies, healthcare providers, and policyholders. The role ensures accurate and timely processing of pharmaceutical services while maintaining compliance with company policies and regulatory requirements.

• Review pharmacy insurance claims for accuracy, completeness, and policy compliance.
• Process medication pre-authorizations and obtain required approvals.
• Verify prescriptions against insurance benefits, exclusions, and formulary coverage.
• Coordinate with pharmacies, hospitals, physicians, and members regarding medication-related inquiries.
• Resolve pharmacy claim rejections, discrepancies, and payment issues.
• Maintain accurate pharmacy records and update medication databases.
• Support fraud detection by identifying unusual or suspicious medication claims.
• Prepare pharmacy utilization, cost analysis, and operational reports.
• Ensure compliance with Ministry of Public Health (MoPH), Qatar Central Bank (QCB), and company policies.
• Provide excellent customer service while maintaining confidentiality of medical information.

• Strong knowledge of pharmaceutical products and medication management.
• Understanding of pharmacy operations and health insurance claims.
• Familiarity with pharmacy information systems.
• Good analytical, problem-solving, and decision-making skills.
• Excellent communication and interpersonal skills.
• Strong attention to detail and documentation accuracy.
• Proficiency in Microsoft Office applications.

• Educational
  
  Qualification:
  
  Bachelor's Degree in Pharmacy (B.Pharm) or Doctor of Pharmacy (Pharm.D.) from a recognized institution.
• Professional Certification: Valid Pharmacy Degree; pharmacist license or eligibility for pharmacist licensing in Qatar is preferred.
• Experience: Minimum 2–3 years of experience in pharmacy operations, hospital pharmacy, retail pharmacy, pharmaceutical services, or health insurance/TPA pharmacy claims.
• Language: Fluent in English (written and spoken);
  Arabic is an advantage.
• Preferred Age: Under 45 years (if required by company policy).