Pharmacy Provider Relations Specialist: Claims & Outreach

Insight Global (United States); United States; On-site; USD 42,000 - 65,000; Full time

Job summary

Insight Global is seeking a detail-oriented professional to conduct outreach to pharmacies and handle claims-related inquiries. You will manage extension requests, process reversals, and triage emails to support regulatory and client commitments.

The role requires strong customer service, organizational skills, and proficiency with Microsoft Office. Experience in PBM or pharmacy settings is preferred, and United States work authorization is required.

Qualifications

• Bachelor’s degree in Business or related area or equivalent education/experience.
• 1+ year of experience in a call center, customer service, operations, retail pharmacy, or PBM.
• Eligibility to work in the United States without sponsorship.

Responsibilities

• Conduct outreach to participating pharmacies and provide timely information.
• Manage claims processing extension requests and triage inquiries via email.
• Research and resolve claims and conduct outreach to support regulatory and client commitments.
• Process claims reversals and identify process improvements.
• Prepare outreach reporting for stakeholders and update transaction controls as needed.
• Perform other duties as assigned.

Skills

Customer service

Communication

Problem solving

Time management

Attention to detail

Education

Bachelor’s degree in Business or related field

High school diploma or GED

Tools

Outlook

Word

Excel

Job description

Insight Global is seeking a detail-oriented professional to conduct outreach to pharmacies and handle claims-related inquiries. You will manage extension requests, process reversals, and triage emails to support regulatory and client commitments.

The role requires strong customer service, organizational skills, and proficiency with Microsoft Office. Experience in PBM or pharmacy settings is preferred, and United States work authorization is required.