Pharmacy Support Specialist (Open to hiring at Sr level)

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

Learn more about our unique benefit offerings here. 

Job Description

Are you interested in growing your career in the Pharmacy space? Use your strengths at Wellmark!  

About the role: As a Pharmacy Support Specialist, you will provide support to the Pharmacy team by coordinating, researching, and resolving inquiries through multiple channels. You will provide technical and administration support to various teams (Customer Service, Health Services, Sales, etc.), and assist with reoccurring administrative functions necessary to update and maintain the pharmacy programs and formulary for Wellmark. This includes, but is not limited to, partnering with Pharmacy team members and other internal teams to identify impacted members, update drug lists, perform quality review of benefits, and analyze decisions to determine the effectiveness of the program.   

About you: You are a hyper-organized and highly efficient individual that isn't afraid to learn and take on something new. You are a strong communicator, both verbally and in writing, and are skilled in effectively educating others on processes and procedures. You understand that getting details right matters and are thorough in your work. You are a self-starter and see yourself as being resourceful and tech savvy, always jumping to learn something new. You enjoy working in an environment that isn't always defined or straightforward and can vary each day - working 'in the gray' is exciting to you.   

If you are excited about a new challenge where you can grow your skills and learn more about the pharmacy side of health insurance, apply for this opportunity today!  

Must be willing to work until 6pm as needed, as well as rotating weekends if a business need arises. These scheduling needs would be planned and communicated in advance with team members.

This position will work a hybrid schedule of at least 3 days (Tuesday, Wednesday, Thursday) in Wellmark's Des Moines office, with 2 days (Monday, Friday) remote option. 

Qualifications

Required Qualifications - Must have:

Pharmacy Support Specialist Level:

• HS diploma or GED.
• Minimum of 1 year of related pharmacy operations work experience from within managed care, health care, pharmacy, PBM, customer service, or similar environment. Experience should reflect knowledge of pharmacy practice (e.g., drug name, NDC, GPI), pharmacy claims processing and/or UM tools (e.g., formulary, prior authorization, step therapy).
• Ability to proactively develop professional customer relationships by listening, understanding, anticipating and responding with solutions to customer needs.
• Knowledge of applicable regulatory standards
• Effective critical thinking and analysis skills. Ability to evaluate information and implement appropriate solutions.
• Strong written and verbal communications skills with the ability to clearly and concisely communicate complex concepts with internal and external stakeholders.
• Ability to effectively resolve issues and conflicts in a professional manner while maintaining composure and confidence.
• Strong interpersonal skills with the ability to build relationships of collaboration and trust.
• Proficiency with Microsoft Office. Technical aptitude to learn new software quickly.
• Self-starter with strong organizational skills and the ability to independently balance priorities in a fast-paced, dynamic environment. Flexible and adaptable to change.

Sr Level:

• Associate's degree or direct and applicable work experience.
• Minimum of 2 years of related pharmacy operations work experience from within managed care, health care, pharmacy, PBM, customer service or similar environment. Experience should reflect knowledge of pharmacy practice (e.g., drug name, NDC, GPI), pharmacy claims processing and/or UM tools (e.g., formulary, prior authorization, step therapy).
• Experience with systems analysis or testing to include writing and executing test cases.
• Knowledge of drug coding and concepts (e.g. NDC, GPI, J codes, MediSpan, etc.).
• Ability to perform, document, and or guide others through a series of related steps and tak