Pharmacy Operations Rep

HCSC•Chicago, IL

1d•Hybrid

About The Position

This position provides assistance to pharmacists and pharmacy coordinators in resolving medication claims, pricing, coding, and related inquiries. The Pharmacy Operations Rep works with internal departments and external vendors, such as pharmacy benefit managers (PBMs), to evaluate and resolve pharmacy-related issues accurately and in a timely manner. The role manages inbound calls, conducts member and provider outreach, and collaborates with pharmacists on account-based work supporting medication management. It also supports population health initiatives and participates in project-based, data-driven efforts to improve operational outcomes. This is a hybrid role requiring at least three days in the office and two days remote each week. Management may modify an employee’s weekly schedule for exigent circumstances.

Requirements

Bachelor’s degree in Business or a related health care field, or four years of work experience in the health care or insurance industry (or equivalent).
Certified Pharmacy Technician.
Verbal and written communication skills.
Managed care customer service experience.
Demonstrated proficiency with word processing, spreadsheets, and database software.
Drug information skills.
Ability to handle multiple tasks and strong organizational skills.

Responsibilities

Assist pharmacists and pharmacy coordinators with resolving medication claims, pricing, and coding issues.
Work with internal departments and external vendors, including PBMs, to evaluate and resolve pharmacy-related issues.
Manage inbound calls and conduct member and provider outreach.
Collaborate with pharmacists on account-based work supporting medication management.
Support population health initiatives.
Participate in project-based, data-driven efforts to improve operational outcomes.