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SHP Pharmacy Benefits Specialist (Remote in WI))
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Job Description
- Req#: R-0045842
Employer Industry: Healthcare
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere in Wisconsin
- Supportive and collaborative work environment
- Commitment to enriching lives through accessible and compassionate healthcare
- Emphasis on teamwork and innovative practices
What to Expect (Job Responsibilities):
- Administer daily operations of pharmacy benefits for SHP customers
- Collaborate with Pharmacy Director, Clinical Pharmacy Specialist, and Operations Manager for accurate benefit administration
- Monitor and analyze performance of pharmacy benefits and communicate issues to relevant areas
- Ensure compliance with federal programs and notify management of any exclusions
- Provide exceptional customer service and support to clients
What is Required (Qualifications):
- Minimum educational requirement: High school diploma or equivalent
- Five years of experience as a pharmacy technician with knowledge of electronic pharmacy claims processing
- Demonstrated proficiency in customer service skills
- Certified Pharmacy Technician (CPhT) certification required or must be obtained within 6 months of hire
- Must not have been excluded from participation in any federally funded program, including Medicare and Medicaid
How to Stand Out (Preferred Qualifications):
- Associate or Bachelor's Degree in business administration
- One year of experience in a Health Maintenance Organization (HMO) or insurance industry
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