Pharmacy Operations Rep
Hybrid
Core
Supports pharmacists and pharmacy coordinators in resolving medication claims, pricing, and coding issues while managing inbound calls and member/provider outreach.
Role type
Pharmacy Operations Representative
Builds
Operational outcomes for medication management and population health initiatives
Domain
Health insurance / Managed care
Deliverable
dashboards & analysis
Required skills
Claims resolution, Pricing analysis, Coding, Drug information, Database software, Spreadsheets, Customer service, Vendor management
Responsibilities
Resolve medication claims and inquiries, Manage inbound calls, Conduct member and provider outreach, Collaborate with pharmacists on account-based work, Support population health initiatives, Evaluate and resolve pharmacy-related issues with internal teams and external vendors