Pharmacy Operations Rep

hcsc

NM - Albuquerque, US🌐 Remote💼 Full-time💰 $38,100–$38,100🗓 2026-08-21 → 2026-09-26

Core

Provide assistance to pharmacists and pharmacy coordinators in resolving claims, pricing, and coding issues.

Role type

Pharmacy Operations Representative

Builds

Resolved pharmacy claims and pricing for managed care customers

Domain

Health insurance / Pharmacy operations

Deliverable

client delivery

Required skills

Claims resolution, pricing analysis, coding, drug information, database software proficiency, word processing

Preferred skills

Managed care customer service experience, organizational skills

Responsibilities

Resolve pharmacy-related claims, pricing, and coding issues; collaborate with internal departments and external vendors to evaluate and resolve pharmacy issues.

Seniority

Individual Contributor

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About hcsc

HCSC is recruiting for a leader in our Data Science Engineering function. The team is responsible for the engineering practices that bring AI and machine learning solutions to production at scale, including model deployment, MLOps, monitoring, and reliability. The Senior Director will lead a team of machine learning engineers who partner closely with data scientists, product managers, and IT to operationalize AI/ML solutions that deliver tangible business value.