Pharmacy Benefit Specialist 

Pharmacy Benefit Specialist 

Manpower

Tempe, AZ 85284

Posted 9 months ago

  • Job Type(s)

    Temporary
  • Industry

    Customer Service
  • Job Description

    Manpower is seeking well experienced Pharmacy Benefit Configuration Specialistcandidates to work out of Tempe, AZ job site.
    This is NOT remote.


    Length: Tempe to Hire!



    Manpower offers benefits including medical and dental, free courses and help with college tuition!


    Paying $23.00 hourly, must be able to provide updated resume.


    The Pharmacy Benefit Configuration Specialistprovides support for the client configuration of benefits, pharmacy, and formulary; supporting the intake, design, configuration, and in-unit testing of all change requests for assigned clients.


    Level I- Essential Duties and Responsibilities include the following. Other duties may be assigned.

    Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests.

    Ensures assigned due dates for submitted change requests are met.

    Performs all work flow activities (pre assessment, design, configuration and in-unit testing of Level 1 and 2 tasks).

    Acquires a thorough understanding of system logic for claims adjudication, system constraints, conflicting benefit logic configurations, benefit coding table designs, plan - group - pharmacy carrier to benefit linking, to ensure proposed design satisfies the intended solution.

    Troubleshoot and perform research on basic to moderately complex claims processing issues or customer inquiries and promptly responds to service failures, resolves issues, and escalates concerns as appropriate.

    Ensures a consistent customer experience by proactively participating in configuration of plan design through consultation and collaboration with external clients, client team members, other internal business partners, to ensure that business requirements for change requests are clearly understood, documented, developed, communicated, tested, and delivered flawlessly.

    Uses standardized methodology to ensure that appropriate rationale exists for non-standard designs and that all efforts are undertaken to prevent inefficient and non-sustainable configuration structures.

    Perform in-unit testing and validation to confirm configuration design processes as expected and meets customer requirements and that all appropriate forms and documentation are fully and accurately completed.

    Utilizes project planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy.


    Ask your recruiter Nissi Gonzalez about our AMAZING referral bonus!!


    ManpowerGroup recognizes the importance of providing an accessible and barrier-free environment. We are committed to creating a welcoming, fair and inclusive environment by offering equal opportunity to access our services. At ManpowerGroup, we are committed to providing accommodations, and will work with you to meet your needs.