- Company: Get A Job.ai
- Location: United States
- Salary: Pay not listed
Website Get A Job.ai
Represented by Get A Job.ai
About This Opportunity
Our talent team is representing a confidential health insurance organization seeking a Pharmacy Services Specialist to join their team. In this role, you'll coordinate pharmacy benefit administration operations and serve as a subject matter expert for both established processes and new initiatives across their benefit programs.
Responsibilities
- Provide daily coordination of pharmacy benefit management operations and activities
- Support staff and coordinate research, development, implementation, and evaluation of pharmacy programs and initiatives
- Serve as a resource and subject matter expert on pharmacy needs, impacts, and projects for assigned initiatives
- Resolve operational issues and escalate to management when appropriate; assist with clinical and contractual matters
- Coordinate benefit plan administration review, implementation, and quality assurance with internal stakeholders and PBM partners
- Resolve or coordinate resolution of escalated customer service inquiries and grievances, including pharmacy claim adjustments
- Coordinate pharmacy coverage determinations with clinical staff and external partners
- Manage pharmacy claim reconsiderations and appeals coordination with relevant departments
- Respond to and coordinate review of RFPs, government program applications, and similar requests
What We're Looking For
- High School Diploma or GED required
- 3+ years of experience in pharmacy benefits, healthcare administration, or related fields
- Strong communication and interpersonal skills for cross-functional collaboration
- Excellent time management and organizational abilities
- Proficiency with Microsoft Office Suite
- Flexibility to work weekends and holidays as needed to support operational requirements
How We Work With You
When you apply through Get A Job.ai, one of our experienced recruiters will review your background and conduct an initial screening conversation. If there's a strong match, we'll submit your profile to our client for consideration. Please do not contact the employer directly—all communication flows through our recruitment team to ensure a professional and organized process.
Pay
Compensation details will be discussed during the screening process based on your experience and qualifications.
Equal Opportunity
Get A Job.ai is committed to inclusive hiring practices and welcomes applications from candidates of all backgrounds.
Apply with Get A Job.ai
A recruiter will review your profile and submit you to the client. Do not contact the client directly.
Apply through Get A Job.ai. A recruiter will review your profile and submit you. Do not contact the client directly.
Apply through Get A Job.ai. A recruiter will review your profile and submit you.
Explore Get A Job.ai online
Working in United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th
Note: US observes a public holiday on Sep 7 — Labour Day.
🇺🇸 Relocation safety for US: Exercise Normal Caution — via Warnely, CC BY 4.0
National unemployment rate in US: 4.2% — via World Bank
National job openings rate: 4.4% — via BLS JOLTS
Private-sector wage growth (year over year): 3.1% — via FRED
National quits rate: 2.0% — via FRED (BLS JOLTS)
Weekly initial unemployment claims: 203,000 — via FRED
GDP per capita in US: $90,027 — via World Bank
Consumer price inflation in US: 2.9% (annual) — via World Bank
Real GDP growth in US: 2.2% (annual) — via World Bank
Average hours worked per year in US: 1,800 — via OECD
Job details above are provided by the employer/source. The sections on this page are compiled from public data sources with AI assistance.
Accommodations: if you need a workplace accommodation to apply for or perform this job, see ADA.gov or EEOC.gov for guidance on your rights and how to request one.
Listing facts
- Role Pharmacy Services Specialist
- Employer Get A Job.ai
- Location United States
- Type Full Time
- Pay (from listing) Pay not listed
- Posted September 4, 2026
- Apply by October 4, 2026
- Country United States
- Overview Full job description on this page (320 words)
Facts above come from this job record on Get A Job.AI — not copied from third-party review sites.
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