- Certified Pharmacy Technician – current
- Bachelor's degree in Business or a related healthcare field OR 4 years of experience in a pharmacy/healthcare/managed care setting
- Strong verbal and written communication skills
- Experience in managed care customer service
- Proficiency in MS Office suite (Word, Excel, Access) and database software
- Knowledge of drug information
- Ability to manage multiple tasks with strong organizational skills
- Experience in Retail, Hospital, Specialty Pharmacy, PBM, or Health Plan
- Handling telephone inquiries from members, providers, pharmacies, and groups regarding benefits
- Providing support through written and digital channels
- Collaborating effectively with internal stakeholders, PBM/Pharmacy, Providers, and members to address pharmacy-related gaps in care, coverage, and claims submissions
- Facilitating processes for clinical and benefit overrides, Step Therapy, and prior-authorization efforts in the PBM claims systems for Utilization Management (UM) and Clinical Services
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Pharmacy Operations Rep - Richardson, United States - Health Care Service Corporation
Description
At HCSC, we place a high value on our team members as they are at the core of our business and the key to our success. Our goal is to empower employees to shape their careers through personalized development plans that guide them towards a fulfilling and rewarding professional journey.
Come onboard and become a part of a purpose-driven organization that is deeply invested in your future growth.
Job Overview
As a crucial member of our Pharmacy Operations team, you will play a vital role in assisting the customer service team, pharmacy coordinators, pharmacists, and members in resolving a variety of pharmacy-related issues such as claims, pricing, and coding. Your responsibilities will involve collaborating with internal departments and external partners to address and resolve pharmacy-related challenges.Job Requirements:
Preferred Qualifications:
*Position requires a flexible schedule with 3 days in the office and up to 2 days remote work per week during core business hours Monday-Friday 8:30 am - 5:00 pm.
Office location(s): Richardson, TX; Chicago, IL; Downers Grove, IL; Helena, MT; Albuquerque, NM; Tulsa, OK
Relocation assistance is currently unavailable. Sponsorship is not provided.
Referrals and Employment Statement:
If you have been referred for one of our roles, reach out to your contact at HCSC to learn more about our Employee Referral process.
HCSC is dedicated to fostering diversity in the workplace and ensuring equal opportunity and affirmative action for all employees and applicants. We are a committed Equal Opportunity Employment/Affirmative Action employer focused on promoting workforce diversity and maintaining a drug-free and smoke-free work environment. As permissible by law, drug screening and background checks are mandatory. Qualified candidates will be evaluated for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
