Customer Care Pharmacy Specialist - St. Luke's Health Plan

Customer Care Pharmacy Specialist
St. Luke’s Health Plan
Boise, Idaho
Full-Time | Onsite
Overview
St. Luke’s Health Plan is seeking a Customer Care Pharmacy Specialist to serve as the primary point of contact for members, prescribers, and pharmacies regarding pharmacy benefit inquiries and concerns. This role plays a critical part in delivering exceptional customer service while supporting accurate claims processing, prior authorizations, and benefit interpretation across all lines of business, including government-funded programs.
This position is full-time and onsite in Boise, Idaho.
What You’ll Do
* Serve as the first point of contact for member, prescriber, and pharmacy inquiries via phone, email, and secure messaging.
* Provide accurate, timely responses regarding pharmacy benefits, formulary coverage, claim status, and reimbursement questions.
* Review supporting clinical documentation submitted by prescribers and validate information against therap...

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