Pharmacy Program Specialist II

Job Description

Job Description

Pharmacy Program Specialist II

Location : Houston, TX (Galleria Area) |

Schedule : Hybrid (2 days onsite, 3 days remote) Saturday- Wednesday (off Thursday and Friday)

Pay Range : $23.46 – $29.32 / hour

Contract Type : Temp-to-Hire

Start Date : ASAP

Training : 1-month onsite training required

About the Role :

Dean’s Professional Services is now hiring a qualified and detail-oriented Pharmacy Program Specialist II to join a leading Managed Care Organization in Houston, TX. This position supports medication access and adherence through timely processing of medical benefit prior authorizations and appeals.

Key Responsibilities :

Process prior authorization requests for specialty and medical benefit drugs.

Respond to inquiries from members and providers regarding drug benefits.

Resolve Pharmacy Benefit Manager (PBM) issues related to drug coverage, copays, and appeals.

Ensure authorizations and appeals are processed within regulatory timelines.

Communicate override requests and approval decisions to PBM partners.

Conduct outreach to members / providers to address drug request issues and promote medication adherence.

Support monitoring of delegated PBM activities for compliance and performance.

Participate in process improvements and department initiatives as needed.

Required Qualifications :

Education :

Bachelor’s degree in Healthcare or Business Administration (Required)

Active Texas State Board of Pharmacy registration as a Certified Pharmacy Technician (CPhT) (Required)

Experience :

Minimum 3 years' experience with a Health Plan or PBM in related roles (Required)

Strong experience with drug prior authorization processes (Preferred)

Skills :

Proficient in Microsoft Office (Excel, Word, Outlook)

Strong understanding of medical benefit drug coverage

Excellent communication, customer service, and problem-solving skills

Ability to manage regulatory timelines with accuracy

Compensation & Benefits :

Competitive hourly rate : $23.46 – $29.32 (based on experience)

Comprehensive benefits package, including medical, dental, vision, and 401(k)

Opportunity for long-term employment with a reputable healthcare organization

About Dean’s Professional Services :

Dean’s Professional Services is an award-winning, national staffing firm that has placed over 45,000 professionals since 1993. We are committed to excellence, integrity, and outstanding service in healthcare staffing.