State of Missouri
Benefit Program Senior Specialist
State of Missouri, Jefferson City, Missouri, United States, 65109
Overview
The MO HealthNet Division has an opening for a
Benefit Program Senior Specialist
within the
Pharmacy Administration Unit
located in
Cole County . Location: Howerton State Office Building, 615 Howerton Court, Jefferson City, MO. The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives. Salary : Semi-monthly salary: The current rate for this position is
$2,020.69 . Individual selected may receive a higher rate based on a pay differential (e.g., shift, or time-of-service pay). Why you’ll love this position : You will join a supportive team that values collaboration and fosters a positive workplace culture. You will enhance your customer service skills and gain knowledge of MO HealthNet policy. Daily challenges will boost your confidence, critical thinking, and creative problem-solving skills, leading to personal and professional growth. If you’re passionate about making a meaningful difference, we encourage you to apply! Responsibilities
Providing professional support by responding to inquiries from providers and participants via phone and email. You'll guide them through claims processes and clarify pharmacy program policies and procedures. Evaluating prior authorization requests for diabetic supplies and over-the-counter medications to ensure these essential resources are accessible to those in need. Identifying and resolving issues related to backdated prior authorizations and claims payments. Assessing hospice authorization requests to ensure that medications are reimbursed appropriately. Evaluating the eligibility of dual-eligible participants and determining the need for Medicare overrides. Minimum Qualifications
Bachelor’s degree and 1-3 years of relevant experience. Substitutions may be allowed. Preferred Qualifications
To be successful, the candidate must possess strong communication skills, both written and oral. Attendance and dependability are a must, as this position provides real-time claims adjudication assistance to providers and participants. The candidate should have strong interpersonal skills and the ability to convey complicated information clearly. Experience working independently and in a team environment is preferred. Knowledge in the area of pharmacy and/or pharmaceutical products is desirable. Lack of post-secondary education will not be used as the sole basis for denying consideration to any applicant. Benefits and Resources
The State of Missouri offers an excellent benefits package including a defined pension plan, generous leave and holiday time, and eligibility for health insurance. A Total Compensation Calculator and applicant resources are available to help demonstrate the value of working for the State of Missouri. Application Details
Application Deadline : October 22, 2025 Recruitment Area : All qualified applicants. Contact : If you have questions about this position, please contact Nikki Ashley at Nikki.Ashley@dss.mo.gov. Accessibility issues while applying can be directed to Courtney Hall at Courtney.A.Hall@dss.mo.gov.
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The MO HealthNet Division has an opening for a
Benefit Program Senior Specialist
within the
Pharmacy Administration Unit
located in
Cole County . Location: Howerton State Office Building, 615 Howerton Court, Jefferson City, MO. The Department of Social Services partners with families and communities to protect children, rehabilitate youth and move families to self-sufficiency so that Missourians can lead safe, healthy and productive lives. Salary : Semi-monthly salary: The current rate for this position is
$2,020.69 . Individual selected may receive a higher rate based on a pay differential (e.g., shift, or time-of-service pay). Why you’ll love this position : You will join a supportive team that values collaboration and fosters a positive workplace culture. You will enhance your customer service skills and gain knowledge of MO HealthNet policy. Daily challenges will boost your confidence, critical thinking, and creative problem-solving skills, leading to personal and professional growth. If you’re passionate about making a meaningful difference, we encourage you to apply! Responsibilities
Providing professional support by responding to inquiries from providers and participants via phone and email. You'll guide them through claims processes and clarify pharmacy program policies and procedures. Evaluating prior authorization requests for diabetic supplies and over-the-counter medications to ensure these essential resources are accessible to those in need. Identifying and resolving issues related to backdated prior authorizations and claims payments. Assessing hospice authorization requests to ensure that medications are reimbursed appropriately. Evaluating the eligibility of dual-eligible participants and determining the need for Medicare overrides. Minimum Qualifications
Bachelor’s degree and 1-3 years of relevant experience. Substitutions may be allowed. Preferred Qualifications
To be successful, the candidate must possess strong communication skills, both written and oral. Attendance and dependability are a must, as this position provides real-time claims adjudication assistance to providers and participants. The candidate should have strong interpersonal skills and the ability to convey complicated information clearly. Experience working independently and in a team environment is preferred. Knowledge in the area of pharmacy and/or pharmaceutical products is desirable. Lack of post-secondary education will not be used as the sole basis for denying consideration to any applicant. Benefits and Resources
The State of Missouri offers an excellent benefits package including a defined pension plan, generous leave and holiday time, and eligibility for health insurance. A Total Compensation Calculator and applicant resources are available to help demonstrate the value of working for the State of Missouri. Application Details
Application Deadline : October 22, 2025 Recruitment Area : All qualified applicants. Contact : If you have questions about this position, please contact Nikki Ashley at Nikki.Ashley@dss.mo.gov. Accessibility issues while applying can be directed to Courtney Hall at Courtney.A.Hall@dss.mo.gov.
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