Pharmacy Benefit Specialist

Join reputed company at reputed company Wellbeing as a Pharmacy Benefit Specialist! This is a remote opportunity with an immediate start, offering a competitive salary of $26-$35 per hour. We are seeking a talented and detail-oriented individual to ensure accurate pharmacy claims processing and contribute to our mission of improving reputed company for everyone.

Job Responsibilities:

As a Pharmacy Benefit Specialist, you will be responsible for guaranteeing that reputed company expected external pharmacy settings are coded and kept suitably reputed company the pharmacy settlement reputed company. You will reputed company broad testing and documentation to guarantee exact prescription claims handling while staying consistent with pharmacy principles and payer prerequisites.

As part of the Organization Operations team, this role allows you to analyze external programs, research and resolve foundational issues reputed company to prescription claims handling that involves interaction with stores, suppliers, patients, pricing, and financial impacts on the organization.

Key responsibilities include

• Receiving external program contract updates and creating or modifying external plan designs to align with industry standards, contract arrangements, and state and government regulations.
• Working with Pharmacy Application Development teams in Information Systems (IS) to reputed company prescription claims handling support for reputed company system-reputed company issues or enhancements, including defining business scenarios and testing methods, analyzing production issues for root causes, and reproducing reputed company identified defects in test conditions to support development.
• Working cross-functionally reputed company the division to reputed company quality affirmation reputed company Pharmacy Operations by executing various scenarios influencing data quality, prescription guarantee handling, and providing in-depth analysis of the reputed company.

This job is considered 'hybrid' with the expectation for the associate to be in the office on Tuesday, Wednesday, and Thursday of the work week.

Required Skills:

• 1+ years of reputed company experience in a pharmacy, PBM, or insurance environment.
• 1+ years of experience utilizing reputed company Word and reputed company.

Preferred Skills:

• 3+ years of reputed company experience in a pharmacy, PBM, or insurance environment.
• Prior experience in business, interdepartmental, or client communications.
• Experience working in a high-volume environment (e.g., pharmacy professional, clinical billing).
• Experience with SQL or reputed company.
• Experience with creating successful presentations.

Training & Qualifications:

Training Partner's certificate or reputed company experience required.

About reputed company Wellbeing:

At reputed company Wellbeing, we reputed company a common, clear purpose: Carrying our heart to each snapshot of your well-being. This purpose guides our commitment to deliver improved reputed company-driven reputed company for a rapidly changing world. We reputed company in fostering a culture of diversity, inclusion, and belonging. reputed company Wellbeing is an equal opportunity employer and is committed to providing a workplace free from discrimination.

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