
201 - 500 employees
⚕️ Healthcare Insurance
📋 Compliance
🤝 B2B
Healthcare Insurance • Compliance • B2B
Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. The company specializes in administering benefit plans, managing medical costs effectively, and ensuring a high-value experience for members. With a focus on vendor integration and data-driven insights, Point C aims to simplify the benefit process while providing access to quality care and innovative mobile tools for its clients and their employees.
🔥 11 minutes ago
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201 - 500 employees
⚕️ Healthcare Insurance
📋 Compliance
🤝 B2B
Healthcare Insurance • Compliance • B2B
Point C is a trusted health benefits partner that delivers meaningful solutions for brokers and their self-funded clients. The company specializes in administering benefit plans, managing medical costs effectively, and ensuring a high-value experience for members. With a focus on vendor integration and data-driven insights, Point C aims to simplify the benefit process while providing access to quality care and innovative mobile tools for its clients and their employees.
• Answer inbound calls and return voicemails from members, delivering exemplary customer service and support. • Troubleshoot and resolve prescription-related issues for members whose plans utilize CVS or Carelon as the PBM. • Coordinate with providers’ offices and retail/mail-order pharmacies as needed to resolve claims processing, prior authorization, and medication access issues. • Document all actions, progress, and communication in the ticketing system and Acuity, updating ticket status in accordance with internal standards. • Conduct proactive member outreach, including but not limited to disruption list communications and follow-up calls. • Collaborate closely with Pharmacy Services team members and cross-functional departments to ensure timely resolution of pharmacy-related concerns. • Perform other duties as assigned.
• Active or eligible Pharmacy Technician license/certification (state-specific requirements apply). • 1–2+ years of experience in a pharmacy, PBM, healthcare customer service, or related environment preferred. • Strong understanding of pharmacy operations, prescription workflows, and medication terminology. • Experience troubleshooting pharmacy or claims issues with PBMs such as CVS, Carelon, Optum, or Express Scripts (preferred). • Excellent verbal and written communication skills, with the ability to deliver clear and compassionate support. • Proficient in navigating systems such as ticketing platforms, pharmacy software, or claims tools (experience with Acuity is a plus). • High attention to detail, strong organizational skills, and ability to manage multiple priorities in a fast-paced environment. • Commitment to confidentiality, accuracy, and a positive member experience.
• Comprehensive medical, dental, vision, and life insurance coverage • 401(k) retirement plan with employer match • Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) • Paid time off (PTO) and disability leave • Employee Assistance Program (EAP)
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