Program Support Specialist

3 weeks ago

Orange CA United States Russell Tobin Full time

Russell Tobin's client, one of the largest pharmaceutical companies, is hiring a Program Support Specialist at Orange, CA (Hybrid)


Apply Now


Employment Type: Contract/Hybrid


Location: Orange, CA 92868


Shift: Monday – Friday: 10am-7pm EST (2 days onsite Wed and Thu)


Duration: 6+ months with possible extension or conversion


Pay range: $25/hr - $27/hr


Job Description:

The Central Pay Specialist will be responsible for supporting the Central Pay team and managing pharmacy client accounts, including enrollment and disenrollment in a provider network, funds management, and handling customer issues. This role requires experience in pharmacy services, managed care, or pharmacy benefit management (PBM), with the ability to work efficiently both independently and within a team environment.


Key Responsibilities:

Coordinate pharmacy customer enrollment and disenrollment in the Central Pay Services system.

Confirm and load customer information and funds holds into the Central Pay system.

Provide customer support for website and account-related issues.

Monitor customer banking information status and assist with updates.

Track outstanding debts and follow up on missing payments and invoices.

Resolve customer inquiries and issues related to funds, debts, and reconciliations.

Act as an escalation point for complex customer issues and work closely with reconciliation vendors and pharmacy benefit managers (PBMs).

Process refunds to PBMs and manage daily funds release.

Maintain accurate customer account records and update documentation as necessary.

Assist in special projects and other tasks as assigned.


Required Qualifications:

Experience: Previous experience in PSAO, PBM, or Managed Care environments. Retail pharmacy experience is preferred.

Skills:

Basic Microsoft Office, especially Excel (data manipulation and analysis).

Strong organizational and analytical skills with attention to detail.

Ability to interpret complex information and present it clearly.

Effective written and oral communication skills.

Strong interpersonal skills with a focus on customer service.

Education: A bachelor’s degree in business, finance, accounting, or a related field, or equivalent work experience.

Preferred Experience:

Accounting or finance analytics background.

Experience with pharmacy claims processing and payment reconciliation.

Knowledge of NCPDP field formats and retail pharmacy reimbursement terms.

Experience with Salesforce or similar CRM platforms.


Additional Skills and Requirements:

Ability to handle multiple systems and consolidate data from various sources.

Strong contract management skills using Microsoft Word and PowerPoint.

Financial analysis and spreadsheet skills (Excel).

Experience with relational databases and business intelligence tools (e.g., MicroStrategy) is a plus.

Ability to work under pressure to meet deadlines.

Must be comfortable handling stressful situations.


Work Environment:

The noise level in the office is generally quiet.

75% or more of the time will be spent working on a computer.


Physical and Mental Requirements:

Sedentary physical activity with occasional reaching, lifting, and repetitive motions.

Close vision, distance vision, and peripheral vision are required.

Ability to remain focused and deal with stressful situations as they arise.


Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), a 401(k)-retirement savings, life & disability insurance, an employee assistance program, identity theft protection, legal support, auto and home insurance, pet insurance, and employee discounts with some preferred vendors.

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