Remote Pharmacy Benefits Support Specialist

Staffing Solutions Organization LLC (SSO); Augusta (ME); Hybrid; USD 25,000 - 28,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) with discretionary employer 0%–

Paid time off and holidays

Flexible spending accounts (FSA)

Job summary

Staffing Solutions Organization LLC (SSO) is seeking a Healthcare Customer Service Representative – Pharmacy Benefits in Augusta, ME. The role supports MaineCare members, pharmacies, and providers with customer service, education, and technical assistance related to prescription coverage and MaineCare pharmacy benefits.

The position offers three days of telework per week with management approval and requires strong communication, attention to detail, and policy application.

Qualifications

• Proficiency with modern office practices and software.
• Ability to make independent decisions within established procedures.
• Knowledge of Medicare, MaineCare, or healthcare program operations.
• Knowledge of graphics, publications, and electronic content management.
• Ability to interpret and apply laws, rules, policies, and procedures.
• Strong planning and organizational skills.

Responsibilities

• Respond to inbound calls from MaineCare members, pharmacists, technicians, and other stakeholders.
• Educate members on Medicare Part D plans, MaineCare pharmacy benefits, and related programs.
• Assist members with enrollment, coverage questions, and benefit explanations.
• Resolve issues related to copays, deductibles, and medication access.
• Support claims processing activities including evaluation, pricing, and service requests.
• Create, edit, and manage correspondence, reports, and informational materials.
• Coordinate and present training, workshops, and orientation sessions.
• Comply with state policies, information security standards, and confidentiality requirements.

Skills

Office software

Customer service

Communication

Attention to detail

Job description

Staffing Solutions Organization LLC (SSO) is seeking a Healthcare Customer Service Representative – Pharmacy Benefits in Augusta, ME. The role supports MaineCare members, pharmacies, and providers with customer service, education, and technical assistance related to prescription coverage and MaineCare pharmacy benefits.

The position offers three days of telework per week with management approval and requires strong communication, attention to detail, and policy application.