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   Current UPMC employees must apply in HR Direct

Pharmacy Services Representative- Health Plan (customer service)

Description


Provide customer service support, in a call center environment, to UPMC Health Plan's Department of Pharmacy Services. Interact with physicians, pharmacists, and members to obtain information pertinent to the decision-making process, explain Health Plan sponsored benefits, and assist with pharmacy claims processing functions. The scope of the information is primarily clinical and pharmacological in nature.

Responsibilities:
  • Handle all duties with the highest level of confidentiality.
  • Accurately complete required documentation per department guidelines.
  • Follow-up on inquires from UPMC Health Plan customers (physicians, members or pharmacists).
  • Maintain current knowledge of all Health Plan and departmental polices and procedures.
  • Respond to customer (physicians, members or pharmacists) requests and inquiries in a timely and accurate manner.

Qualifications

  • High school diploma or equivalent.
  • Pharmacy technician training preferred. 
  • Customer service and/or call center experience required. 
  • Basic knowledge of health care/managed care concepts. 
  • Good verbal and communication skills; including telephone skills.
  • Proficiency in typing required.
  • Ability to Microsoft Windows based PC and multi-line telephone.

Licensure, Certifications, and Clearances:

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct

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