New Mexico Pharmacy Representative

Job Summary

Providing customer service support for pharmacy-related inquiries, the full-time New Mexico Pharmacy Representative will manage inbound and outbound calls from members, providers, and pharmacies while ensuring compliance with relevant regulations and guidelines in a remote setting.

Key responsibilities

• Handles and records pharmacy calls in accordance with departmental policies and regulatory standards
• Processes pharmacy prior authorization requests and explains claims adjudication to members and providers
• Maintains call quality standards and supports pharmacists with comprehensive medication reviews

Required qualifications

• At least 1 year of related experience in call center or customer service
• Proficiency in Microsoft Office suite and applicable software programs
• Ability to work independently on special projects and manage multiple tasks
• Excellent customer service skills and phone etiquette
• Strong ability to develop and maintain positive work relationships