Pharmacy Operations Representative - CPhT

At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

Come join us and be part of a purpose driven company who is invested in your future!

JOB REQUIREMENTS:
* Certified Pharmacy Technician - current CPhT.
* Bachelor's degree in Business or a related health care field OR 4 years work experience in a pharmacy/health care/managed care industry.
* Verbal and written communication skills.
* Managed care customer service experience.
* Proficiency of MS product suite; Word, Excel, Access, and database software.
* Drug information skills.
* Handle multiple tasks and strong organizational skills.

PREFERRED JOB REQUIREMENTS:
* Retail, Hospital, Specialty Pharmacy, Pharmacy Benefits Manager, Health Plan experience.
* Telephone support to include members inquiries, providers, pharmacies, and groups regarding benefits.
* Support through written and digital channels.
* Effectively working across / collaborating with internal stakeholders such as Customer Service Team, PBM/Pharmacy, Providers, members to resolve pharmacy related gaps in care, coverage & claims submission issues.
* Facilitate process for clinical & benefit overrides, Step Therapy and prior-authorization efforts in the PBM claims systems for Utilization Management (UM) and Clinical Services.
*Available during core business hours Monday - Friday 8:00am - 5pm and commute into either Albuquerque, NM or Chicago, IL office(s).

Relocation is not provided at this time.

Sponsorship is not provided at this time.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.