Pharmacy Services Specialist

Pharmacy Services Specialist

Join a dynamic healthcare team where your pharmacy operations expertise can help improve member experiences and ensure the seamless administration of pharmacy benefits. We're seeking a detail-oriented Pharmacy Services Specialist who thrives in a collaborative environment and enjoys solving complex issues while supporting critical pharmacy programs and initiatives.

Location: Remote* Pay Rate: $27-$28/hour Employment Type: Contingent Schedule: Monday-Friday, Day Shift

Why This Role Matters

As a Pharmacy Services Specialist, you will serve as a key liaison between internal teams, pharmacy benefit management partners, providers, and members. Your work will help ensure pharmacy benefits are administered accurately, customer concerns are resolved efficiently, and organizational initiatives are successfully implemented.

What You'll Do

Coordinate daily activities related to pharmacy benefit management operations

Support the research, development, implementation, and evaluation of pharmacy programs and initiatives

Serve as a subject matter expert and resource for pharmacy-related projects and operational activities

Resolve issues independently and escalate complex concerns to management when appropriate

Coordinate benefit plan administration activities with internal stakeholders and PBM partners

Research and resolve escalated member inquiries, grievances, and pharmacy claim issues

Review and process pharmacy claim adjustments as appropriate

Coordinate the resolution of pharmacy coverage determinations with clinical staff and external partners

Support pharmacy claim reconsiderations and appeals processes

Assist with responses to RFPs, government program applications, and related requests

Ensure quality assurance standards are met across pharmacy operations

What We're Looking For

A current, up-to-date resume

High School Diploma or GED required

Minimum of 3 years of experience in pharmacy operations, pharmacy benefits, healthcare administration, customer service, or a related field

Experience supporting pharmacy benefit management (PBM) functions preferred

Strong problem-solving and analytical skills

Experience handling escalated customer service issues and member concerns preferred

Ability to coordinate multiple projects and priorities in a fast-paced environment

Proficiency with Microsoft Office and healthcare-related systems

Strong verbal and written communication skills

Ability to collaborate effectively with internal and external stakeholders

Ability to meet compliance requirements

Must be eligible and provide proof of eligibility to work in the US

What's In It For You

Competitive hourly pay

Remote work opportunity with a leading healthcare organization

Consistent Monday-Friday schedule

Opportunity to gain experience in pharmacy benefit management and health plan operations

Collaborative and supportive team environment

Exposure to cross-functional projects and healthcare initiatives

Benefits for Manpower Associates (Upon Eligibility)

Upon completion of waiting period associates are eligible for:

Medical and Prescription Drug Plans

Dental Plan

Supplemental Life Insurance

Short Term Disability Insurance

401(k)

* Remote workers must reside in one of the following states to be eligible for this remote opportunity: North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, Wyoming