Client Concierge Specialist-1

Our work matters. We help people get the medicine they need to feel better and live well.  We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Job Description

The Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions.

Responsibilities

• Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans
• Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system
• Establish and maintain case profile; accurately enter member, prescriber, pharmacy, or drug information into case management system
• Investigate and resolve phone inquiries in a timely manner; escalate inquiries or issues to appropriate team member as necessary
• Manage work queues and volumes to meet client specific turnaround times
• Other duties as assigned

Minimum Qualifications

• High school diploma from an accredited school or equivalent GED
• 1 year of customer service experience
• 6 months of related work experience in Pharmacy Benefit Management (PBM) or health care
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

• Strong verbal and written communication skills, interpersonal skills, and attention to detail
• Demonstrated organizational and time-management skills
• Willingness and ability to learn internal systems/processes/programs
• Willingness to work overtime, weekends, and holidays on a rotating basis as needed
• Ability to adapt and work collaboratively in a dynamic fast-paced production environment
• Basic math skills and general PC knowledge including Microsoft Office, Internet, and email
• Ability to work a flexible schedule to accommodate business needs

Preferred Qualifications

• Associate’s degree in business, health care or related area of study
• 1 year of related work experience in PBM/health care
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)

Minimum Physical Job Requirements

• Ability to work overtime, weekends, and holidays on a rotating basis as needed
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

• Reports to Supervisor or Manager in the Contact Center or Clinical Operations department

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage qualified minority, female, veteran, disabled, and other diverse candidates to apply and be considered for open positions.