Pharmacy Operations Rep

Health Care Service Corporation; Chicago (IL); Hybrid; USD 41,000 - 73,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Pharmacy Claims Support Specialist to assist pharmacists and coordinators in resolving claims, pricing and coding inquiries. You will collaborate with internal teams and external vendors to ensure timely, accurate issue resolution and support medication management.

This hybrid role requires a Bachelor's degree or four years of health care/insurance experience, Certified Pharmacy Technician, strong communication skills, and proficiency with word

Qualifications

• Bachelor's degree in Business or related health care field or four years work experience in health care/insurance
• Certified Pharmacy Technician
• Verbal and written communication skills
• Managed care customer service experience
• Proficiency with word processing, spreadsheets and database software
• Drug information skills
• Ability to handle multiple tasks and strong organizational skills

Responsibilities

• Assist pharmacists and pharmacy coordinators in resolving claims and inquiries
• Collaborate with internal teams and external vendors to ensure timely and accurate issue resolution
• Manage inbound calls and perform member and provider outreach
• Support population health initiatives and participate in data-driven improvement projects

Skills

Verbal communication

Written communication

Customer service

Multitasking

Organizational skills

Drug information

MS Word

Spreadsheets

Database software

Education

Bachelor's degree in Business or related health care field

Certified Pharmacy Technician

Tools

Word processing

Spreadsheets

Database software

Job description

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

This position is responsible for providing assistance to pharmacists and pharmacy coordinators in resolution of claims, pricing, coding. Works with internal departments and external vendors to evaluate and resolve pharmacy related issues.

Job Description:

The position supports pharmacists and pharmacy coordinators in resolving medication claims and inquiries, working with internal teams and external vendors (e.g., PBMs) to ensure timely and accurate issue resolution. This role manages inbound calls, conducts member and provider outreach, and collaborates with pharmacists on account-based work to support medication management. Additionally, the position supports population health initiatives and participates in project-based, data-driven efforts to improve operational outcomes.

Job Requirements:

• Bachelors degree in Business or a related health care field or four years 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 of word processing spreadsheets and database software
• Drug information skills
• Handle multiple tasks and strong organizational skills

This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote

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Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee’s weekly schedule for exigent circumstances.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$40,500.00 - $72,500.00

Exact compensation may vary based on skills, experience, and location.