Sr. Pharmacy Resolution Specialist - Complex PA & Claims

Centene Corporation; Town of Florida (NY); Hybrid; USD 26,766 - 45,433; Full time

Benefits offered by this job

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work schedules

Job summary

A national healthcare organization is seeking a Senior Pharmacy Resolution Specialist to act as a subject matter expert and handle complex pharmacy issues. This role includes taking inquiry calls, researching issues, and training staff in a dynamic environment. Candidates should have a high school diploma and at least two years of customer service experience, preferably within healthcare. The position offers competitive pay and a comprehensive benefits package, including remote and hybrid work flexibility.

Qualifications

• 2 years of call center or customer service experience required.
• Experience in a healthcare environment is preferred.

Responsibilities

• Handle complex pharmacy issues and escalated calls.
• Research and resolve member inquiries thoroughly.
• Assist in training less experienced staff.

Skills

Call center experience

Customer service skills

Problem solving

Education

High School Diploma / GED

Job description

A national healthcare organization is seeking a Senior Pharmacy Resolution Specialist to act as a subject matter expert and handle complex pharmacy issues. This role includes taking inquiry calls, researching issues, and training staff in a dynamic environment. Candidates should have a high school diploma and at least two years of customer service experience, preferably within healthcare. The position offers competitive pay and a comprehensive benefits package, including remote and hybrid work flexibility.