Intake Specialist

Beacon Hill; Raleigh (NC); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Leave programs

Job summary

Beacon Hill is seeking an Intake Specialist to support pharmacy benefit operations in a healthcare environment in Raleigh, NC. You will coordinate pharmacy-related requests, research and resolve escalated issues, and collaborate with PBM partners and internal teams.

The role emphasizes strong communication, research, and organizational skills with multi-tasking ability. Qualified candidates have a high school diploma or GED and 3+ years of related experience, preferably in health insurance, PBM,

Qualifications

• Strong research, problem-solving, organizational, and communication skills.
• Ability to manage multiple priorities and coordinate effectively across teams.

Responsibilities

• Coordinate daily activities related to pharmacy benefit operations.
• Support pharmacy programs, projects, and operational initiatives.
• Research and resolve escalated customer service inquiries and grievances.
• Coordinate pharmacy benefit plan administration and quality assurance with internal teams and PBM partners.
• Assist with pharmacy claim adjustments and other benefit-related issues.
• Coordinate coverage determinations, claim reconsiderations, and appeals with clinical teams and appropriate partners.
• Serve as a resource for pharmacy-related processes, issues, and initiatives.
• Escalate complex clinical, contractual, or operational issues as appropriate.
• Assist with RFPs, government program applications, and related requests.

Skills

Research

Problem-solving

Organizational skills

Communication skills

Multitasking

Education

High school diploma or GED

Job description

Position Overview

We are seeking an Intake Specialist to support pharmacy benefit operations within a healthcare environment. This role will coordinate pharmacy-related requests, research and resolve escalated issues, and work closely with internal teams and external Pharmacy Benefit Management (PBM) partners.

Key Responsibilities

• Coordinate daily activities related to pharmacy benefit operations.
• Support pharmacy programs, projects, and operational initiatives.
• Research and resolve escalated customer service inquiries and grievances.
• Coordinate pharmacy benefit plan administration and quality assurance with internal teams and PBM partners.
• Assist with pharmacy claim adjustments and other benefit-related issues.
• Coordinate coverage determinations, claim reconsiderations, and appeals with clinical teams and appropriate partners.
• Serve as a resource for pharmacy-related processes, issues, and initiatives.
• Escalate complex clinical, contractual, or operational issues as appropriate.
• Assist with RFPs, government program applications, and related requests.

Qualifications

• High school diploma or GED required.
• 3+ years of related experience.
• Experience in healthcare, health insurance, pharmacy benefits/PBM, claims, or a related field preferred.
• Strong research, problem-solving, organizational, and communication skills.
• Ability to manage multiple priorities and coordinate effectively across teams.

Equal Opportunity

Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California Residents

Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Company Profile

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement.

Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs.

Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.

Benefits Information

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings.

We look forward to working with you.

Beacon Hill. Employing the Future (TM)