Member Care Advocate

Member Care Advocate 3.1 3.1 out of 5 stars Member Care Advocate EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. 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. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically ™ , EmpiRx Health's pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years.

Position Summary:

EmpiRx Health is in unprecedented growth, and we're seeking several 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 24-48-hour 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)

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 (REQUIRED) Work Environment —

Work Environment:

Hybrid in Montvale, NJ. We will consider remote for the right candidate . Benefits And Perks Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Health Savings Account, and an Employee Assistance Program. EmpiRx Health is an Equal Opportunity Employer 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 on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're 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. The expected salary range for this New Jersey position is between $ 50,890- $63,612 . Total earnings may also include various incentive options. Actual pay will be adjusted based on experience, education, geographic location, and other job-related factors as permitted by law. Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Health Savings Account, and an Employee Assistance Program.)

Note:

This job description is a general outline of responsibilities and qualifications for the role. Additional duties may be assigned, and the position may evolve to meet the organization's needs.