[Hiring] Pharmacy Customer Service @TEKsystems

Role Description

TekSystems is currently hiring for a FULLY REMOTE Healthcare/Pharmacy Customer Service Representative. This position would be in EST time zone and the approved working states would be:

• Florida
• Georgia
• Maryland
• New Jersey
• North Carolina
• Pennsylvania
• South Carolina
• Texas

This role supports members, providers, pharmacies, brokers, and internal teams with pharmacy benefit and prescription drug coverage questions. Many calls involve members who are actively trying to fill a medication and need timely, accurate support to understand coverage, resolve claim rejections, or identify next steps.

• Respond to inbound calls and inquiries related to commercial pharmacy benefits, prescription coverage, pharmacy claims, and plan information.
• Assist members, providers, brokers, internal teams, and other stakeholders with pharmacy-related questions and issue resolution.
• Research and resolve inquiries using internal systems, routing queues, vendor applications, plan documents, and knowledge resources.
• Review and interpret pharmacy benefit information, policies, procedures, and plan requirements to provide accurate guidance.
• Document all interactions thoroughly and accurately in accordance with compliance and procedural standards.
• Escalate complex issues when needed and coordinate with internal teams or vendor contacts to support resolution.
• Maintain compliance with HIPAA, organizational, plan, and regulatory requirements.
• Meet quality, productivity, and customer experience expectations in a structured, monitored environment.
• Participate in training and coaching to maintain current knowledge of commercial pharmacy benefits, plan requirements, and internal processes.

Qualifications

• High School Diploma or GED required.
• Prior customer service or call center experience required.
• Strong verbal and written communication skills.
• Ability to explain detailed or complex information clearly and professionally.
• Strong attention to detail and accuracy.
• Comfortable navigating multiple systems while assisting callers.
• Ability to work independently and as part of a team.
• Reliable attendance and ability to work in a structured, performance-driven environment.

Requirements

• Healthcare call-center or health-plan member-services experience preferred.
• Commercial health-insurance or pharmacy-benefit experience preferred.
• PBM, prescription-coverage, pharmacy-claims, or prior-authorization experience preferred.
• Claims, benefits, insurance, or member-services experience preferred.
• Pharmacy technician or pharmacy-support experience preferred.

Benefits

• 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).

Company Description

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.