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Medicaid Pharmacy Operations Representative
Albuquerque, NM Full time 07/08/2025 R0043899 Compensation: $37,400.00 - $78,400.00At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
BASIC FUNCTION HCSC is looking for an individual to join its Medicaid Pharmacy Operations team! This position is responsible for providing assistance to pharmacists and pharmacy coordinators in the resolution of pharmacy-related issues to include claims, pricing, and coding. Will also work closely with internal departments and external vendors to evaluate and resolve issues; supports processes to ensure federal and state regulations and program requirements are met and maintained; and communicate pharmacy related written and telephone inquiries with members, providers, pharmacies, and groups regarding benefits. NOTE: sponsorship is NOT available for this role either now or in the future! Core operational hours are from 8:00am to 5:00pm!JOB REQUIREMENTS
- Bachelor’s Degree in Business, Pharmacy or a related healthcare field OR four years’ direct work experience in healthcare/insurance industry (or equivalent).
- Must have a current, state specific Licensed/Certified Pharmacy Technician (CPhT) credential
- Excellent verbal and written communication skills.
- Managed care customer service experience to help members navigate the complexities of their health benefits.
- Demonstrated proficiency of word processing spreadsheets and pharmacy database management software.
- Strong drug information skills to access, evaluate, and communicate reliable drug information to both patients and healthcare professionals.
- Capacity to handle multiple tasks with strong organizational skills.
- Highly collaborative with ability to influence others and build strong professional relationships across all departmental levels of associates and leadership.
PREFERRED JOB REQUIREMENTS
- Call center and pharmacy retail experience.
- Experience involving process improvement.
NOTE: sponsorship is NOT available for this role either now or in the future! Core operational hours are from 8:00am to 5:00pm!
Compensation: $37,400.00 - $78,400.00
Exact compensation may vary based on skills, experience, and location
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards
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