Benefit Program Senior Specialist
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Apply to Benefit Program Senior Specialist at State of MissouriJob details
- Location
- Jefferson City or Cole County
- Work type
- Onsite
- Compensation
- $48,497/yr
- Posted
- 2 weeks ago
- Apply on
- hiretrue-prod.com
About this role
Job Summary - Why you’ll love this position
The MO HealthNet Division has an opening for a Benefit Program Senior Specialist within the Pharmacy Administration Unit located in Cole County.
Semi-monthly salary: The current rate for this position is $2,020.69. Individual(s) selected for this position may receive a higher rate based on a pay differential (e.g. shift, or time-of-service pay).
Annual Salary: $48,496.56
Job Posting Number: 4620 8260113
Job Location: This position is located at the 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.
Why you’ll love this position: You will join a supportive team that values collaboration and fosters a positive workplace culture. In this position, 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. While the work can be demanding, you'll find substantial rewards in supporting Missouri's most vulnerable populations and striving for fiscal sustainability. If you're passionate about making a meaningful difference, we encourage you to apply!
Responsibilities - What you’ll do
What you’ll do: As an essential member of our team, you will engage in key technical work that is essential for the smooth operation of the Pharmacy Program within the MO HealthNet Division. Some of your responsibilities will include:
- 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.
Qualifications - All you need for success
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 for this candidate, as this position is responsible for providing real-time claims adjudication assistance to providers and participants. This individual needs to have strong interpersonal skills and the ability to convey complicated information in an easy manner. This individual should have experience working independently and in a team environment. The candidate must be knowledgeable in the area of pharmacy and/or pharmaceutical products.
Lack of post‐secondary education will not be used as the sole basis denying consideration to any applicant.
Job Details - More reasons to love this position
The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.
Contact Details - If you have questions or require any accommodations to participate in the application or interview process please contact:
If you have questions about this position please contact: Lisa Smith at [email protected]. If you experience accessibility issues while applying, please contact Courtney Hall at [email protected].
Recruitment Area: All qualified applicants.
Application Deadline: September 17, 2026
The State of Missouri is an equal opportunity employer and is committed to developing and maintaining a talented workforce.