TEKsystems

One of the leading Health Insurance Companies based out of the Salt Lake City Utah area is interested in hiring Bilingual Pharmacy Benefit Specialists to their team! This position is fully onsite in Las Vegas Nevada. The team is interested in candidates that are Bilingual in English and Spanish!

Description

Responsible for expeditious and accurate adjudication of pharmacy claims, and the provision of excellent customer service to all members, employer groups, providers and other departments or teams. Rotates between pharmacy claims and customer service responsibilities and acts as a subject matter expert in both of these areas. Acts as a mentor to other staff as directed by department leadership.

Job Responsibilities:

• Processes and/or communicates multiple types of pharmacy benefits including coordination of benefits, direct member reimbursements, coinsurance benefits, and mail order prescriptions.
• Receives incoming calls from members, providers, facilities, employer groups, and other departments. Provides superior customer service that is consistent with policies, company values, and quality standards.
• Educates callers on correct use of their plans, including coverage of benefits, utilization, and administrative guidelines, in collaboration with teammates and other departments. Makes exception / empowerment decisions within the established exception policy.
• Consistently demonstrates excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers.
• More responsibilities as assigned

Skills & Qualifications

• Pharmacy Benefit Specialist I certification or Pharmacy Technician Certified (does not have to be current – can be expired)
• Demonstrated experience in a pharmacy benefits support role.
• Demonstrated ability to meet performance standards for a Pharmacy Benefit Specialist II

Pay and Benefits

The pay range for this position is $21.00 - $21.00/hr.

Eligibility requirements apply to some benefits and may depend on your job

classification and length of employment. Benefits are subject to change and may be

subject to specific elections, plan, or program terms. If eligible, the benefits

available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Las Vegas,NV.

Application Deadline

This position is anticipated to close on Jun 25, 2025.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.