Pharmacy Services Specialist

Location: Remote Flex - North Carolina, United States

Salary: $45,761.00–$73,217.00 annually

Company

hirify.global provides health care delivery services and invests in community-focused programs.

What you will do

• Coordinate daily operations for pharmacy benefit management and nonclinical review activities.
• Support the research, development, implementation, and evaluation of pharmacy programs, projects, and initiatives.
• Coordinate benefit plan administration reviews, implementation, and quality assurance with internal stakeholders and the PBM account team.
• Resolve escalated customer service inquiries, grievances, pharmacy claim reconsiderations, and appeals, including researching and authorizing claim adjustments when appropriate.
• Coordinate pharmacy coverage determinations with clinical staff and external partners.
• Coordinate the review and approval of RFPs, government program applications, and similar requests.

Requirements

• High school diploma or GED.
• At least 3 years of experience in related fields.
• Ability to work weekends and holidays as needed to support business and operational requirements.
• Strong communication, interpersonal, time management, and organizational skills.
• Proficiency with Microsoft Office Suite.

Culture & Benefits

• Flexible work environment with an emphasis on work-life balance and autonomy.
• Medical, dental, and vision coverage.
• Health and wellness programs.
• Parental leave, adoption assistance, and surrogacy assistance.
• Career development programs and tuition reimbursement.
• 401(k) match with an annual company contribution and paid time off.