Remote Pharmacy Clinical Services Supervisor

Utah Retirement Systems; Salt Lake City (UT); Híbrido; USD 90 000 - 120 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Hybrid work environment

Remote work availability (9 of 10 days

Resumo da oferta

PEHP Health & Benefits, a division of Utah Retirement Systems, seeks a Pharmacy Clinical Services Supervisor to lead the Pharmacy Clinical Services team and optimize cost-saving initiatives while ensuring high-quality member service.

The role requires strong leadership, expertise in claims adjudication, preauthorization, and PBM systems, and a commitment to confidentiality and teamwork. Hybrid work arrangement supported.

Qualificações

• High School diploma plus four years of progressively responsible pharmacy admin/technical experience.
• Current Utah Certified Pharmacy Technician license required.
• CPC certification and experience in claims processing, electronic billing, and PEHP familiarity preferred.

Responsabilidades

• Coordinate daily workflows and supervise Pharmacy Clinical Services team.
• Resolve insurance issues related to pharmacy claims and preauthorization.
• Monitor performance, ensure deadlines, and provide staff coaching and training.
• Communicate pharmacy benefits and appeal decisions clearly in writing and verbally.
• Serve as a liaison between Pharmacy leadership and other departments to streamline processes.

Conhecimentos

Pharmacy administration

Pharmacy claims processing

Preauthorization knowledge

Customer service

Leadership

Team supervision

Microsoft Office

Communication skills

Formação académica

High School diploma

Certified Pharmacy Technician license (Utah)

CPC certification (preferred)

Ferramentas

Pharmacy software

Electronic billing systems

Claims adjudication systems

Microsoft Office

Descrição da oferta de emprego

PEHP Health & Benefits, a division of Utah Retirement Systems, seeks a Pharmacy Clinical Services Supervisor to lead the Pharmacy Clinical Services team and optimize cost-saving initiatives while ensuring high-quality member service.

The role requires strong leadership, expertise in claims adjudication, preauthorization, and PBM systems, and a commitment to confidentiality and teamwork. Hybrid work arrangement supported.