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Seasonal - Bilingual Member Service Specialist - Starting at 18.50 - Remote

Role overview

Qualifications

  • High School Diploma or GED
  • Eligible to work in the United States without work visa or residency sponsorship
  • Strong PC Skills with ability to navigate multiple software systems simultaneously
  • Strong communication skills with focus on professional demeanor and empathy

Responsibilities

  • Receive incoming calls or emails from members, pharmacies, doctor's offices about requests for information on medication and benefits
  • Investigate and resolve member inquiries in a timely manner or escalate to appropriate team member
  • Adhere to and reinforce Prime and departmental standard operating procedures and training guidelines specific to HIPAA
  • Other duties as assigned

Key facts

Other skills

  • Customer Service
  • Multitasking
  • Detail Oriented
  • Empathy
  • Professionalism

About the company

Prime Therapeutics logo

Prime Therapeutics

Pharmacy Benefit Management (PBM)

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 24 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Prime’s recruiting team will only contact you via phone call or through a corporate email address. Do not respond to suspicious emails or social media messages. If you have questions or are skeptical about any follow-up communications, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.

Company details

Company typeLarge
IndustryPharmacy Benefit Management (PBM)
Company size1001 - 5000

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Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Seasonal - Bilingual Member Service Specialist - Starting at 18.50 - Remote

Job Description

The Member Services Specialist is responsible for interacting with Prime members, pharmacies and doctors' offices by providing support and assistance with order processing and general account benefit inquiries.

Responsibilities

  • Receive incoming calls or emails from members, pharmacies, doctor's offices about requests for information on medication and benefits
  • Investigate and resolve member inquiries in a timely manner or escalate to appropriate team member
  • Adhere to and reinforce Prime and departmental standard operating procedures and training guidelines specific to HIPAA
  • Other duties as assigned

Minimum Qualifications

  • High School Diploma or GED is required

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

  • Has suitable home office (i.e. chair, desk, internet, etc.) that meet Prime required standards (if work from home position)
  • Strong PC Skills with ability to navigate multiple software systems simultaneously
  • Strong communication skills with focus on professional demeanor and empathy
  • Ability to multitask
  • Detail oriented

Preferred Qualifications

  • 1 year of customer service experience
  • Fluency in another language (Spanish)
  • Pharmacy Benefit Management or other Healthcare experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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