Pharmacy Benefit Specialist (Customer Service Rep)

Job Description

Job Description

Pharmacy Benefits Specialist (Customer Service Rep)

Make an impact every day by helping members navigate their pharmacy benefits with confidence. We’re looking for a detail-driven, customer-focused professional who thrives in a fast-paced environment and enjoys solving complex problems. If you excel at multitasking, mentoring others, and delivering exceptional service—this role is for you.

In this role, you’ll serve as both a pharmacy claims expert and a customer service specialist, handling a high volume of calls (40–50 per day during peak seasons) while ensuring accurate claims processing and exceptional member support.

Key Responsibilities:

• Adjudicate pharmacy claims quickly and accurately, ensuring compliance with plan guidelines
• Handle inbound calls from members, providers, employer groups, and internal teams
• Educate callers on benefit coverage, utilization, and administrative processes
• Process a variety of pharmacy benefit scenarios including:
  • Coordination of Benefits (COB)
  • Direct Member Reimbursements (DMR)
  • Coinsurance and mail-order prescriptions
• Enter claim overrides with precision and meet audit quality standards
• Maintain detailed and accurate member documentation
• Resolve complex issues efficiently while delivering top-tier customer service
• Meet and exceed performance metrics for call volume, response time, and quality

• Strong customer service mindset with exceptional communication skills
• Ability to multitask and stay organized in a high-volume environment
• Critical thinking and problem-solving skills under pressure
• Confidence navigating multiple systems and technologies simultaneously
• High attention to detail and commitment to accuracy

• Pharmacy Benefit Specialist I certification or Pharmacy Technician Certification (active or expired)
• Experience in pharmacy benefits, healthcare support, or claims processing

• Be part of a collaborative, mission-driven team focused on improving healthcare access
• Gain hands-on expertise in pharmacy benefits and claims operations
• Opportunity to mentor others and grow into leadership roles
• Work in a fast-paced, engaging environment where your contributions matter

#westpriority26

This is a Contract position based out of Salt Lake City, UT.

The pay range for this position is $21.00 - $21.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Salt Lake City,UT.

This position is anticipated to close on Jun 19, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.