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AI Summary

Respond to inbound calls to assist Medicare members, providers, and pharmacies with prescription drug coverage and benefit inquiries. Research and resolve pharmacy-related issues using internal systems while maintaining strict HIPAA compliance.

Remote Pharmacy Customer Service Representative

100% Remote | Start Date: August 10, 2026

Location Requirement

Candidates must reside in one of the following states:

  • Florida
  • Georgia
  • Maryland
  • New Jersey
  • North Carolina
  • Pennsylvania
  • South Carolina
  • Texas

About the Role

We're seeking compassionate and detail-oriented Pharmacy Customer Service Representatives to support Medicare members with prescription drug coverage and pharmacy benefit questions. This is a high-volume, customer-focused role where you'll assist members, providers, pharmacies, brokers, and internal teams with pharmacy-related inquiries and issue resolution.

Many calls involve members who are experiencing barriers to accessing medications, making it essential to listen carefully, research solutions, explain benefits clearly, and guide callers through the appropriate next steps. Representatives must be comfortable handling sensitive situations with empathy, professionalism, and a strong commitment to customer service.

Top Skills We're Looking For

  • Pharmacy, prescription benefits, or Medicare knowledge
  • High-volume customer service or call center experience
  • Active listening, empathy, and de-escalation skills
  • Strong problem-solving and multitasking abilities

Key Responsibilities

  • Respond to inbound calls regarding Medicare pharmacy benefits, prescription coverage, pharmacy claims, and plan information.
  • Assist members, providers, pharmacies, brokers, and internal teams with pharmacy-related questions and issue resolution.
  • Research and resolve inquiries using internal systems, vendor applications, plan documents, and knowledge resources.
  • Review and interpret pharmacy benefit information, policies, and coverage requirements to provide accurate guidance.
  • Document all customer interactions accurately and thoroughly.
  • Escalate complex issues and coordinate with internal teams or vendors as needed.
  • Maintain compliance with HIPAA, Medicare, and organizational policies.
  • Meet quality, productivity, schedule adherence, and customer satisfaction goals.
  • Participate in ongoing training and coaching to stay current on pharmacy benefits, Medicare programs, and internal processes.

Required Qualifications

  • High School Diploma or GED.
  • Previous customer service or call center experience.
  • Strong verbal and written communication skills.
  • Ability to explain complex information clearly and professionally.
  • Strong attention to detail and accuracy.
  • Comfortable navigating multiple systems while assisting callers.
  • Ability to work independently and collaboratively in a team environment.
  • Reliable attendance and commitment to a performance-driven work environment.

Preferred Qualifications

  • Pharmacy Technician experience strongly preferred.
  • Medicare, Medicare Part D, pharmacy benefits, PBM, or prescription coverage experience.
  • Healthcare, insurance, benefits, claims, prior authorization, or member services experience.

What to Expect

This is a fast-paced, high-volume call center environment supporting Medicare pharmacy benefit inquiries. Representatives regularly assist callers with:

  • Prescription coverage and cost questions
  • Pharmacy claims and benefit inquiries
  • Plan rules and coverage requirements
  • Prior authorization-related concerns
  • Medication access issues and pharmacy support

Many calls are time-sensitive and may involve members who are currently at a pharmacy attempting to fill a prescription. Successful candidates remain calm under pressure, actively listen, research solutions, and clearly communicate next steps.

Work Environment

  • 100% remote, phone-based customer service role
  • Structured and performance-driven environment
  • Metrics include quality, productivity, customer service, schedule adherence, and reliability
  • Private, secure workspace required to maintain HIPAA compliance
  • Remote work cannot be used as a substitute for childcare or caregiving responsibilities

Schedule & Training

Schedule:

  • Flexible to work a 7.5-hour shift between 8:00 AM – 8:00 PM EST
  • Availability required seven days per week based on business needs
  • Mandatory overtime may be required

Training:

  • Approximately 6–8 weeks
  • Monday–Friday, 8:00 AM – 4:15 PM EST
  • Camera-on participation required
  • Successful completion of training assessments required

Why Apply?

This is an excellent opportunity to join a leading health plan organization and build expertise in Medicare pharmacy benefits, healthcare operations, customer service, and problem-solving. You'll gain valuable experience supporting members through important healthcare decisions while making a meaningful impact on their access to medications and care.

Job Type & Location

This is a Contract position based out of Tampa, FL.

Pay and Benefits

The pay range for this position is $19.00 - $20.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Jul 23, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

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