Pharmacy Operations Representative CPhT - Albuquerque, NM
 Health Care Service Corporation | |
 United States, New Mexico, Albuquerque | |
 Sep 11, 2024 | |
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At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary Located in Albuquerque, NM and as a valued member of our Pharmacy Medicare team, you will be responsible for providing assistance to the customer service team, pharmacy coordinators, pharmacists and members in resolution of various pharmacy claims, pricing, coding issues. Working with internal departments and external vendors to evaluate and resolve pharmacy related issues.This role will provide a flex schedule requiring 3 days working in the office, allows up to 2 days working from home in Albuquerque, NM. Core Business hours are 8:00am - 5pm, Monday - Friday. No weekends, No evenings. Job Requirements: * Must have valid Certified Pharmacy Technician - CPhT. * Bachelor's degree in Business or a related health care field OR 4 years work experience in a pharmacy/health care/managed care industry. * Verbal and written communication skills. * Proficiency of MS product suite; Word, Excel, Access, and database software. * Drug information skills. * Handle multiple tasks and strong organizational skills. * Managed care customer service experience. Preferred Requirements: * Retail / Hospital / Specialty Pharmacy, Pharmacy Benefits Manager, MCO, Health Plan pharmacy customer service experience. * Medicare / STARS, Facets knowledge or experience. * Inquisitive, continuous learning, critical thinking skills for understanding regulations, benefits and ability to complete departmental projects. * Outbound telephone support to include members, providers, pharmacies, and PBM/vendor, program / campaign outreach. * Support through written and digital channels. * Effectively working across / collaborating with internal stakeholders such as Customer Service Team, PBM/Pharmacy, Providers, members to resolve pharmacy related gaps in care, coverage & claims submission issues. Relocation is not provided at this time. Sponsorship is not provided at this time. #LI-HYBRID Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement:We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$36,500.00 - $76,500.00 | |