Member Care Advocate - EmpiRx Health
Orlando, FL 31118
About the Job
Who We Are:
EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.
What We Do:
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Member Care Advocate. In this critical role, you will ensure proactive oversight on all issues for members assigned to them by utilizing RxCurve360 system for case management. You will also ensure escalations are taken care of within a timely manner to provide best class service to assigned members.
If you are a highly motivated Member Care Advocate with a strong background in a PBM, health plan or call center of medication therapy management (MTM) programs, and you are passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.
What You'll Do:
As a Member Care Advocate, your role will encompass a wide range of responsibilities:
What You Need:
Benefits and Perks:
At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand. It's about creating an environment where employees thrive both professionally and personally. As a valued member of our team, you'll have access to a range of benefits designed to support your overall wellbeing and enhance your work-life balance:
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Careers - EmpiRx Health
**No recruiters, please**
EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.
What We Do:
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Member Care Advocate. In this critical role, you will ensure proactive oversight on all issues for members assigned to them by utilizing RxCurve360 system for case management. You will also ensure escalations are taken care of within a timely manner to provide best class service to assigned members.
If you are a highly motivated Member Care Advocate with a strong background in a PBM, health plan or call center of medication therapy management (MTM) programs, and you are passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.
What You'll Do:
As a Member Care Advocate, your role will encompass a wide range of responsibilities:
- Serve as an effective advocate for members of assigned clients (approximately 30,000 lives) and provide extra hand holding for identified (flagged) members.
- Serve as an effective liaison between members, and pharmacies, prescribers, and vendors (primarily via phone and email)
- Follow defined practices to deliver best-in-class concierge service to EmpiRx members.
- Complete assigned cases in RxCurve360 in timely manner
- Engage with prescriber and members in accordance with call requirements to meet our KPI standards (approximately 40 calls daily per month)
- Resolve member escalations in a courteous and professional manner, following defined practices and within targeted turnaround time.
- Ensure that all email communications are attended to/handled in a timely manner.
- Perform under the supervision of the assigned Clinical Account Executive
- Ensure that practices, processes, and procedures are continually followed to always deliver a best-in-class concierge experience for members.
- Ensure Specialty Cost Containment vendor collaboration and member cases are monitored and addressed.
- Assist with ad-hoc projects that involve member concierge services.
- Effectively collaborate with internal departments to ensure members are taken care of, as necessary
- Handle requests from Clinical Account Executives (e.g., provider and pharmacy calls)
- Handle client or member requests from Client Management (e.g., calls to providers, members, pharmacies)
- Collaborate with external vendors (e.g., SCC vendors, Benecard)
- Partner with fellow MCA’s, covering duties when needed (e.g., holidays, weekend, and vacations)
What You Need:
- 4-year college degree (preferred)
- 2 years of experience working for a PBM, health plan or call center of medication therapy management (MTM) program; or 4 years of experience in a hospital or retail environment.
- Experience with Microsoft Office
- Strong customer service orientation and commitment to delivering concierge-level service.
- Ability to work in a fast-paced environment.
- Excellent written and oral communication skills (Outlook skills preferred)
- Excellent time management skills and ability to meet tight deadlines.
- Certified Pharmacy Technician
Benefits and Perks:
At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand. It's about creating an environment where employees thrive both professionally and personally. As a valued member of our team, you'll have access to a range of benefits designed to support your overall wellbeing and enhance your work-life balance:
- Medical, prescription, vision, dental, life, and disability insurance, with coverage for domestic partnerships.
- A 401K match program to secure your financial future.
- Parental leave for childbirth and adoption.
- Student loan reimbursement.
- Additional perks include flexible PTO, hybrid work arrangements, online wellness resources and counseling access, and an employee discount program.
- EmpiRx Health is on an extraordinary journey where excellence meets innovation.
- We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
- You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
- We offer a generous and competitive benefits package.
- You will share in the company's success through our discretionary bonus program.
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Careers - EmpiRx Health
**No recruiters, please**
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Source : EmpiRx Health