Pharmacy Second Level Review Contractor 1

Wipro; Jefferson City (MO); On-site; USD 50,000 - 52,000; Full time

Benefits offered by this job

Medical and dental benefits

Disability insurance

Paid time off

Leave options

Job summary

Wipro Limited in Jefferson City, Missouri seeks a Second Level Pharmacy Review Contractor 1 (RN) to provide effective support for drug authorization reviews and assist with education of call center staff. Responsibilities include reviewing drug prior authorization requests, applying policy and clinical judgment, and ensuring timely escalation to meet SLAs while delivering strong customer service.

The role operates Monday–Friday, 7am–5:30pm CST, is non-exempt, and involves collaboration with

Qualifications

• Active Missouri Nursing License and RN credentials.
• Bachelor’s degree in Nursing with 1+ year professional experience or graduate with 2+ years.
• Experience with Utilization Review and strong written/verbal communication.

Responsibilities

• Review drug authorization requests with policy and nursing judgment.
• Work across systems to gather information for pre-certification decisions.
• Educate and lead call-center staff on processes and guidelines.
• Diagnose and troubleshoot client queries with clear step-by-step guidance.
• Maintain logs of all queries and ensure SLA adherence.

Skills

Active Missouri Nursing License

Bachelor's in Nursing

Communication skills

Education and training

Education

Bachelor's in Nursing

Nursing graduate with 2+ years

Tools

Utilization Review software

Computer skills

Job description

Pharmacy Second Level Review Contractor 1 Job Description Job Title: Pharmacy Second Level Review Contractor 1 City: Jefferson City State/Province: Missouri Posting Start Date: 10/19/26

Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world. For additional information, visit us at www.wipro.com.

Job Description

Role Purpose

The purpose of the role is to provide effective technical support to the process and actively resolve client issues directly or through timely escalation to meet process SLAs.

Second Level Pharmacy RN (Registered Nurse)

• Monday – Friday, Hours range from 7am-5:30pm CST.
• This is a non-exempt position.
• Level 2 staff work on some Wipro holidays, based on volume needs.
• Job description:
  • Responsible for working with healthcare professionals to review drug authorization requests.
  • Review decisions are based on MHD policy and professional nursing judgment and experience.
  • Work in multiple systems to identify information pertinent to accurately perform drug prior authorization reviews.
  • This position will assist with providing education and acts as a team lead to call center staff.
  • Must understand algorithms and clinical rules associated with the medication under review in order to make a final decision regarding pre-certification of a medication.
  • Perform reviews for incoming drug prior authorization requests via fax and some telephone.
• Experience:
  • Registered Nurse with an Active Missouri Nursing License
  • Bachelor’s degree in Nursing with a least one year of professional nursing experience or;
  • Graduate of school of nursing with at least two years of professional nursing experience
  • Varied nursing background and experience (hospital, physician’s office, outpatient facility, UR etc)
  • Computer Skills and Utilization Review experience, desired.
  • Candidate must have excellent written and verbal communication skills.

Deliver excellent customer service through effective diagnosis and troubleshooting of client queries

• Provide product support and resolution to clients by performing a question diagnosis while guiding users through step-by-step solutions
• Assist clients with navigating around product menus and facilitate better understanding of product features
• Troubleshoot all client queries in a user-friendly, courteous and professional manner
• Maintain logs and records of all customer queries as per the standard procedures and guidelines
• Accurately process and record all incoming call and email using the designated tracking software
• Offer alternative solutions to clients (where appropriate) with the objective of retaining customers and clients business
• Organize ideas and effectively communicate oral messages appropriate to listeners and situations
• Follow up and make scheduled call backs to customers to record feedback and ensure compliance to contract /SLAs

Build capability to ensure operational excellence and maintain superior customer service levels of the existing account/client

• Undertake product trainings to stay current with product features, changes and updates
• Enroll in product specific and any other trainings per client requirements/recommendations
• Partner with team leaders to brainstorm and identify training themes and learning issues to better serve the client
• Update job knowledge by participating in self learning opportunities and maintaining personal networks

Deliver

No Performance Parameter Measure 1 Process No. of cases resolved per day, compliance to process and quality standards, meeting process level SLAs, Pulse score, Customer feedback 2 Self- Management Productivity, efficiency, absenteeism, Training Hours, No of technical training completed

The expected compensation for this role ranges from $36/hr to $38/hr

Final compensation will depend on various factors, including your geographical location, minimum wage obligations, skills, and relevant experience. Based on the position, the role is also eligible for Wipro’s standard benefits including a full range of medical and dental benefits options, disability insurance, paid time off (inclusive of sick leave), other paid and unpaid leave options.

Applicants are advised that employment in some roles may be conditioned on successful completion of a post-offer drug screening, subject to applicable state law.

Wipro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Applications from veterans and people with disabilities are explicitly welcome.

Wipro is committed to creating an accessible, supportive, and inclusive workplace. Reasonable accommodation will be provided to all applicants including persons with disabilities, throughout the recruitment and selection process. Accommodations must be communicated in advance of the application, where possible, and will be reviewed on an individual basis. Wipro provides equal opportunities to all and values diversity.

Reinvent your world. We are building a modern Wipro. We are an end-to-end digital transformation partner with the boldest ambitions. To realize them, we need people inspired by reinvention. Of yourself, your career, and your skills. We want to see the constant evolution of our business and our industry. It has always been in our DNA - as the world around us changes, so do we. Join a business powered by purpose and a place that empowers you to design your own reinvention.