Pharmacy Benefits Specialist

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We have a great opportunity for a Pharmacy Benefits Specialist in Robinson Township, PA

We are a highly collaborative team of builders and operators who invent new ways of working in an industry that historically has resisted innovation. Join us!

This is a fully On-site role in Robinson Township, Pittsburgh

Responsibilities:

Process pharmacy claims accurately and timely to meet client expectations
Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
Maintain compliance with patient assistance program guidelines
Document all information and data discovery according to operating procedures
Research required information using available resources
Maintain confidentiality of patient and proprietary information
Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering

Requirements:

High school diploma or GED required, Bachelor's degree strongly preferred
One year of Pharmacy Experience, having resolved third party claims
Healthcare industry experience with claims background
Strong verbal and written communication skills
Attention to detail and a strong operational focus
A passion for providing top-notch patient care
Ability to work with peers in a team effort and cross-functionally
Strong technical aptitude and ability to learn complex new software

Location/Hours

On-site : 5 Penn Center Blvd, Robinson Township, Pittsburgh, PA
40 hrs/week, rotating shifts 8 AM- 9 PM OR fixed shifts of 12 PM- 8 PM OR 1 PM- 9 PM
Mandatory Training first 6 -8 weeks from10 AM- 6 PM
Availability for rotating Saturday shifts 9 AM- 5 PM (once a month)
Scheduling flexibility, as your schedule may change over time according to business needs

Benefits

Medical, dental, and vision insurance plans that fit your needs
401(k) retirement plan
Daily snack stipend for onsite marketplace
Pre-tax transit benefits and free onsite parking
Free Shuttle service

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5 Questions You Should Ask During the Interview

Here are 5 questions we think you could ask during your interview. Use them as a guide to help you write your own questions.

Remember: Always have at least 5 questions prepared for the interview. If you do not, you run the risk of looking unprepared.

What does success look like in this role, and how is it measured?

Why ask this? You want to ensure you have a clear understanding of expectations before accepting the role. Knowing how success is measured helps you hit the ground running and avoid surprises about performance evaluations. It also signals to the employer that you're results-driven.

Can you describe the team dynamic and the company culture?

Why ask this? Skills and experience matter, but if the work environment isn’t a good fit, you won’t be happy or productive. This question helps you gauge whether the company values collaboration, how teams interact, and whether the culture aligns with your work style and values.

What are the biggest challenges facing the person in this role right now?

Why ask this? Every job has challenges, and it’s better to know them upfront. This helps you assess whether the role is a good fit for your strengths and whether the company is realistic about its expectations. If they hesitate to answer, it could be a red flag.

How does the company support work-life balance and employee well-being??

Why ask this? Burnout is real, and some companies expect employees to sacrifice personal time for the job. By asking this, you’ll get a sense of how they value work-life balance, flexibility, and well-being—things that are crucial for job satisfaction and long-term success.

These questions help you make an informed decision while also showing your professionalism and strategic thinking!

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