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: 6 Months