Member Care Advocate

🕒 March 10

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EmpiRx Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2014

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Pharmaceuticals • Healthcare Insurance

EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.

📋 Description

• Ensure proactive administrative oversight of all assigned members by utilizing EmpiRx Health’s population health management system for case management. • Ensure escalations are reviewed and resolved within a timely manner. • Serve as an effective advocate for the client’s member population by providing high quality, thorough, and consistent service to identified members. • Serve as an effective administrative liaison between members, pharmacies, and/or prescribers. • Follow applicable laws, regulations, and defined internal processes to deliver exceptional service to EmpiRx members. • Complete assigned cases in the population health management system in a timely manner. • Administratively communicate with prescribers and members in accordance with EmpiRx Health’s call requirements. • Resolve member escalations in a courteous and professional manner. • Ensure that all email communications are attended to/handled in a timely and professional manner. • Respond to member inquiries/requests 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 experience for members. • Assist with general projects that involve member concierge services under the direct supervision of a licensed pharmacist. • Effectively collaborate with EmpiRx Health internal departments to ensure members receive superior care that is professional, accurate, and timely. • Administratively respond to requests from Clinical Account Executives and the Client Management team. • Effectively communicate and interact with all other EmpiRx Health departments, fostering teamwork and unity.

🎯 Requirements

• Pharmacy Technician certification (CPhT). • Minimum 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. • Proficient in Microsoft Office Suite. • Strong customer service orientation and commitment to delivering concierge-level service. • Ability to work in a fast-paced environment. • Ability to think critically and strategically. • Excellent time management skills with the ability to meet tight deadlines. • Excellent verbal and written communication skills. • 4-year college degree (preferred). • Pharmacy Technician license (preferred).

🏖️ Benefits

• Paid Time Off • 401(k) program • Health Insurance including Dental & Vision coverage • Health Savings Account • Employee Assistance Program