Pharmacy Operations Representative

Health Care Service Corporation

. Provide assistance to pharmacists and pharmacy coordinators in resolving claims, pricing, and coding issues .

Posted 11/2/2026full-timeUnited StatesMid-LevelSenior💰 $40,500 - $72,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in resolving pharmacy-related claims and inquiries while collaborating with pharmacists and internal departments to enhance medication management and support population health initiatives. Proficient in managing customer service interactions and utilizing data-driven approaches to improve operational outcomes.

Highest-signal resume keywords

Certified Pharmacy TechnicianManaged Care Customer Service ExperienceDrug Information SkillsVerbal And Written Communication SkillsProficiency In Word Processing, Spreadsheets, And Database Software

ATS Keywords

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Applicant Tracking System Keywords

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Soft Skills

Strong Organizational SkillsAbility To Handle Multiple Tasks

Certifications & Qualifications

Bachelor's Degree In Business Or Related Health Care Field

Industry Keywords

Claims ResolutionMedication ManagementPopulation Health InitiativesPharmacy CoordinationData-Driven EffortsOperational Outcomes

About the role

Key responsibilities & impact

Provide assistance to pharmacists and pharmacy coordinators in resolving claims, pricing, and coding issues
Work with internal departments and external vendors to evaluate and resolve pharmacy-related issues
Resolve medication claims and inquiries
Manage inbound calls and conduct member and provider outreach
Collaborate with pharmacists on account-based work to support medication management
Support population health initiatives
Participate in project-based, data-driven efforts to improve operational outcomes

Requirements

What you’ll need

Bachelor's degree in Business or a related health care field or four years of work experience in a health care/insurance industry (or equivalent)
Certified Pharmacy Technician
Verbal and written communication skills
Managed care customer service experience
Demonstrated proficiency in word processing, spreadsheets, and database software
Drug information skills
Ability to handle multiple tasks and strong organizational skills
Flex employees are expected to be in the office a minimum of three days a week
Employment may be contingent upon successful completion of drug screening in accordance with applicable law

Benefits

Comp & perks

Curated development plans and professional development opportunities
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Annual incentive bonus plan
Other incentives