Pharmacy Operations Representative

🔥 1 minute ago

🌽 Illinois, Montana, +3 more states – Remote

🌽 Illinois – Remote 🦬 Montana – Remote 🌶️ New Mexico – Remote 🌪️ Oklahoma – Remote 🤠 Texas – Remote

💵 $40.5k - $72.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Provide assistance to pharmacists and pharmacy coordinators • Review clinical documentation for medical necessity based on medical policy • Work with internal departments and external vendors to evaluate and resolve medical prior authorization-related issues • Resolve pharmacy-related issues

🎯 Requirements

• Current Licensed/Certified Pharmacy Technician • Managed care customer service experience • Drug information skills • Verbal and written communication skills • Demonstrated proficiency in word processing, spreadsheets, and database • Ability to handle multiple tasks and organizational skills • Bachelor’s degree in Business or a related health care field or four years work experience in a health care/insurance industry • Sponsorship is not available • Ability to work Thursday through Monday or Monday through Friday with weekend rotations, during 8-hour shifts between 7AM–6PM MST • Training availability Monday through Friday, 7AM–3PM MST • Retail Pharmacy experience preferred • Current Licensed/Certified Pharmacy Technician preferred

🏖️ Benefits

• Curated development plans and professional development • Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Annual incentive bonus plan • Other incentives