Demo

Bilingual Clinical Advocate - RN or Doctor

Jim Davis Consulting
Philadelphia, PA Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 2/24/2025
Job Overview

We are seeking a highly skilled Clinical Member Advocate who is bilingual in English and Spanish to join Scripta. This pivotal role entails collaboration with member advocates and various teams, including Account Management, Business Operations, Marketing, Sales, and the Clinical Insights Team. The ideal candidate will demonstrate superior communication and customer service capabilities, along with a professional demeanor conducive to independent work with minimal supervision.

Key Responsibilities

  • Engage in proactive and responsive communications with members through phone, email, or online chat.
  • Educate members regarding Scripta’s services and medication utilization, addressing their inquiries effectively.
  • Assess member needs utilizing provided data and recommend cost-saving medication alternatives.
  • Identify community resources to help reduce medication costs for members.
  • Maintain accurate and high-quality documentation of member interactions.
  • Provide constructive feedback to internal teams based on member engagement and claims analysis.
  • Execute targeted outreach campaigns to enhance member awareness of savings opportunities.
  • Adhere to HIPAA compliance in all member interactions.
  • Undertake special projects and other duties as assigned.

Required Skills

  • Exceptional listening, verbal, and written communication abilities.
  • Self-driven and proactive with a strong sense of initiative.
  • A commitment to outstanding customer service—truly MEMBER OBSESSED!
  • Proficiency with various internet platforms and multiple operating systems/applications.
  • Strong organizational skills to manage large volumes of work efficiently.
  • Excellent problem-solving capabilities with a focus on achieving results.

Qualifications

Candidates must meet one of the following criteria:

  • Bachelor’s Degree (preferred) or equivalent nursing education with current RN license and a minimum of 2 years of clinical experience.
  • B.S. in Pharmacy or PharmD, currently licensed in the US.
  • Licensed Practical Nurse (LPN) with 5 or more years of experience in an acute clinical setting.

Experience

  • A minimum of 3 years of experience in the healthcare industry, preferably in remote roles.
  • Prior case management experience is a plus.
  • Familiarity with Pharmacy Benefit Manager (PBM) operations and self-funded insurance models is advantageous.
  • Proficiency in using Microsoft and Google office applications, including Excel/Sheets, is required.
  • Experience with computerized documentation tools for capturing client interactions is necessary.

Career Growth Opportunities

This position offers a pathway for professional development and skill enhancement through diverse projects and assignments, fostering career advancement within the organization.

Company Culture And Values

At Scripta, we nurture a collaborative, member-centered culture that emphasizes teamwork and professionalism. Our commitment to improving client outcomes is integral to our mission, making this a great environment for talented professionals to thrive.

Compensation And Benefits

  • Salary: \(1,600 - \)1,800 USD monthly, based on experience.
  • Flexible scheduling with expected nine-hour workdays, covering member success hours from 8:30 AM to 10:00 PM EST.
  • Independent contractor role with the possibility of ongoing engagement after initial six months.
  • Candidates must provide their own internet and computer.

Employment Type: Full-Time

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