Remote Pharmacy Benefits Specialist for PBM Ops

HW Staffing Solutions; Portland (ME); On-site; USD 52,000 - 90,000; Part time

Job summary

HW Staffing Solutions seeks a detail-oriented Pharmacy Benefits Specialist to support pharmacy benefit operations, including prior authorizations, PBM coordination, and benefit administration. The role emphasizes accuracy, reporting, system testing, and training initiatives while ensuring programs run smoothly.

This remote contract position invites candidates with healthcare, pharmacy, or PBM experience to contribute to member issue resolution and operational improvements.

Qualifications

• 2+ years of administrative, healthcare, pharmacy, or related experience.
• Pharmacy Technician, PBM, prior authorization, health insurance, or pharmacy billing experience preferred.
• Knowledge of medical terminology and prescription medications.
• Strong attention to detail, problem-solving, and communication skills.
• Background in pharmacy operations, healthcare benefits, managed care, Medicare Part D, or insurance administration encouraged.

Responsibilities

• Assist with prior authorizations and pharmacy benefit administration.
• Support system testing, reporting, and member issue resolution.
• Contribute to training initiatives and process improvements.

Skills

Attention to detail

Problem-solving

Communication skills

PBM experience

Prior authorization

Health insurance

Pharmacy billing

Medical terminology

Job description

HW Staffing Solutions seeks a detail-oriented Pharmacy Benefits Specialist to support pharmacy benefit operations, including prior authorizations, PBM coordination, and benefit administration. The role emphasizes accuracy, reporting, system testing, and training initiatives while ensuring programs run smoothly.

This remote contract position invites candidates with healthcare, pharmacy, or PBM experience to contribute to member issue resolution and operational improvements.