Pharmacy Operations Specialist - Hybrid

HCSC; Helena (MT); Hybrid; USD 41,000 - 73,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a Pharmacy Claims Support Specialist to help pharmacists and pharmacy coordinators resolve claims, pricing, and coding issues. You will collaborate with internal teams and external vendors such as PBMs to ensure timely, accurate resolutions and support medication management initiatives.

The role is hybrid (3 days in office, 2 days remote) and requires a bachelor’s degree or equivalent experience, plus certified pharmacy technician credentials and

Qualifications

• Bachelor's degree or four years of work experience in health care/insurance.
• Certified Pharmacy Technician credential.
• Strong verbal and written communication abilities.
• Experience in managed care customer service is preferred.
• Proficiency with word processing, spreadsheets, and databases.

Responsibilities

• Assist pharmacists and pharmacy coordinators with resolving medication claims, pricing, and coding issues.
• Collaborate with internal teams and external vendors (e.g., PBMs) to ensure timely, accurate issue resolution.
• Manage inbound calls and perform member/provider outreach related to pharmacy matters.
• Support population health initiatives and participate in data-driven projects to improve operations.

Skills

Verbal and written communication

Managed care customer service

Drug information skills

Multitasking and organization

Education

Bachelor's degree in Business or related health care field

Certified Pharmacy Technician

Job description

Health Care Service Corporation (HCSC) is seeking a Pharmacy Claims Support Specialist to help pharmacists and pharmacy coordinators resolve claims, pricing, and coding issues. You will collaborate with internal teams and external vendors such as PBMs to ensure timely, accurate resolutions and support medication management initiatives.

The role is hybrid (3 days in office, 2 days remote) and requires a bachelor’s degree or equivalent experience, plus certified pharmacy technician credentials and