Remote Pharmacy Benefits Specialist II (PBM Expert)
careoregonBrooklyn (NY)
Remote Pharmacy Benefits Specialist II (PBM Expert)
Posted yesterday
careoregonBrooklyn (NY)
PharmacistsPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SENIORITY
Senior
About the role
Care Oregon, Inc. is hiring a Pharmacy Benefit Specialist II to support members, providers, and pharmacies with the pharmacy benefit under the major medical plan.
Responsibilities include customer service, claims processing, prior authorizations, formulary exceptions, and appeals. The role involves data entry, project participation, and coordination of PA and formulary decisions, with a focus on HIPAA-compliant service and professional communication.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
More like this