Pharmacy Services Specialist

HIRING: Pharmacy Services Specialist – Onsite in Orange, CA 92868

HealthCare Support is actively seeking a Pharmacy Services Specialist

Daily Responsibilities for Pharmacy Services Specialist:

• 85% – Program Support
• Conducts outbound calls to members, pharmacies, and providers in an effort to improve Star measure performance for medication adherence and other Star programs as needed.
• Using a pharmacy computer program, retrieves drug-specific technical data and information necessary for the completion of departmental and interdepartmental pharmacy-related functions and operations.
• Assists with resolution of provider and member pharmacy issues requiring specialized technical and professional knowledge and expertise, including pharmacy authorizations.
• Supports the department with claims disputes between providing pharmacies, the pharmacy claims administrator, Health Claims Department and other entities as necessary.
• Interprets and articulates Pharmacy Management program policies and procedures to pharmacy providers, other providers, other Health staff, external agencies and others as required.
• Assists in the processing of pharmaceutical prior authorization and appeals requests as per the Health Prior Authorization Guidelines as needed.
• Establishes and maintains key contacts both internally and externally to assure appropriate coordination and provision of pharmacy services to Health Members.
• Accepts referrals from Member Services and work in conjunction with employees from this department to resolve all pharmacy-related member complaints, including those related to the pharmacy authorization process.
• Assists pharmacies and health plans in resolving member-specific pharmacy services access issues, removing barriers to access to pharmaceutical services.
• Identifies pharmacy-related resources and recommend new procedures, processes or activities that help assure the efficient provision of pharmacy services to members.

• 10% – Administrative Support
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Maintains documentation of the Stars adherence program and other Stars program outreach according to the internal guidelines.

• 5% – Other
• Completes other projects and duties as assigned.

Required Qualifications for Pharmacy Services Specialist:

• High School Diploma or GED (Associates preferred)
• Pharm Tech License in CA
• 1+ years of pharm tech experience 
• Experience doing Outbound calls to members, pharmacies, and providers
• Computer Skills: Word, Excel, Outlook

Benefits for Pharmacy Services Specialist:

• Immediate enrollment in Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details:   $23 – $31.05 an hour – weekly pay (based of experience)
Start: 11/17/2025
Length of Assignment:  6 months, possibility to convert but not guaranteed
Schedule: Monday through Friday – 8:00 a.m. to 5:00 p.m. PST
Location: In office position in Orange, CA 92868

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to joey.carulla@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.

Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.