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Pharmacy Operations Rep

Health Care Service Corporation · Chicago, IL · $40,500–$72,500 a year · Full time

Posted Sep 30, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you worked with an outside vendor to fix a recurring problem.

What they are checking: Whether they follow an issue through to a real fix instead of solving it one claim at a time.

Tell me about a time you gave great service to an upset caller in a managed care setting.

What they are checking: Whether they stay patient and solve the problem under pressure, which the role requires daily.

Tell me about a time you caught a mistake in your own work before it reached someone else.

What they are checking: Whether they check their work carefully, since small coding errors cost money and member trust.

What would you do

How would you explain to a pharmacist why a claim paid at a different amount than they expected?

What they are checking: Whether they understand pricing basics like AWP or MAC and can explain them clearly and calmly.

You have five open issues from pharmacists and coordinators, and two are urgent. How do you organize your day?

What they are checking: Whether they can prioritize by member impact and keep everyone updated on the rest.

A member's drug requires prior authorization and they are at the counter. What can and cannot you do?

What they are checking: Whether they know the limits of their role and the right path to get the member help quickly.

About the work

A pharmacy calls because a claim rejected. Walk me through how you figure out why.

What they are checking: Whether they can read reject codes and work through eligibility, formulary and pricing in a logical order.

What is the difference between an NDC and a GPI, and why would it matter when you are resolving a pricing issue?

What they are checking: Whether their pharmacy technician knowledge applies to claims coding in a payer setting.

How do you use Excel or a database to spot a pattern in pharmacy claims problems?

What they are checking: Whether they can use data tools to find trends rather than handling each case blindly.

How do you look up drug information when you are unsure about a medication or its use?

What they are checking: Whether they know reliable drug references and avoid guessing on clinical details.

Practice this interview out loud.

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The full job description

As published by Health Care Service Corporation.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This Position Is Responsible For Providing Assistance To Pharmacists And Pharmacy Coordinators In Resolution Of Claims, Pricing, Coding. Works With Internal Departments And External Vendors To Evaluate And Resolve Pharmacy Related Issues. JOB REQUIREMENTS: * Bachelors degree in Business or a related health care field or four years work experience in a health care/insurance industry (or equivalent) * Certified Pharmacy Technician * Verbal and written communication skills * Managed care customer service experience * Demonstrated proficiency of word processing spreadsheets and database software * Drug information skills * Handle multiple tasks and strong organizational skills This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote #LI-AC1 #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law. Base Pay Range $40,500.00 - $72,500.00 Exact compensation may vary based on skills, experience, and location.

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