Client Services Pharmacy Support Analyst

About Our Client:The organization operates within the health insurance industry, addressing challenges related to providing comprehensive benefits and support to various market groups including Small, Large, and Major Market Groups as well as Individual Account plans. It manages a range of health programs such as Traditional, POS, PPO, HMO, Medicare Supplemental, Healthy PA, CHIP, and others, providing coverage that includes medical, dental, vision, prescription, and disease management services. The company supports enrollment, billing, benefits, and claims processes, and maintains compliance with regulatory requirements. About the Opportunity:The CLIENT SERVICES PHARMACY SUPPORT ANALYST role is designed to enhance customer service operations by researching and resolving inquiries related to vendor lines of business, plan benefits, and policy issues. This position serves as a critical liaison between customer service, brokers, sales teams, and vendor contacts to ensure accurate information flow and problem resolution. The role contributes to organizational effectiveness by ensuring compliance, improving service quality, and supporting customer satisfaction across various insurance programs. Responsibilities:Research and respond to customer inquiries regarding vendor lines of business, policies, and benefits.Interpret and apply policies and procedures to resolve enrollment, billing, claims, and benefit issues.Address routine and complex inquiries from groups, brokers, sales personnel, and other internal and external stakeholders.Prioritize workload and communicate effectively within the team.Monitor vendor inquiries to ensure timely and compliant resolution according to regulatory standards.Provide clear instructions to relevant departments using approved communication channels.Coordinate with internal and external contacts to gather information and facilitate issue resolution.Document inquiry details and track progress using internal systems.Report trends indicating potential operational issues or gaps in documentation.Support marketing efforts and broker community engagements by providing accurate information.Participate in continuous training and quality improvement initiatives. Requirements:Effective verbal and written communication skills across diverse audiences.Ability to interpret detailed policies and procedures accurately.Experience with customer service in health insurance or related fields.Proficiency in using computer systems and reference materials for information retrieval.Ability to manage multiple tasks and prioritize effectively. Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Benefits & Perks:Medical, dental, and vision coverageRetirement planPaid time off including holidays and volunteer time offIncentive planTuition reimbursement Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.