Client Concierge Specialist Sr - Remote

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

Job Description

The Senior Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking more complex 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

• Set up, track, and monitor daily workflow based on client needs

• Analyze and trouble-shoot complex cases by researching, gathering and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines

• Act as a point of escalation for inquiries that cannot be resolved by Client Concierge Specialists, and handle and resolve escalated inquiries or issues

• Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system

• Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans

• 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

• 2 years of customer service experience, including 6 months of Client Concierge Specialist experience

• 1 year of related work experience in Pharmacy Benefit Management (PBM) or health care

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

Additional Qualifications

• Strong attention to detail, accuracy, and quality

• Ability to adapt and work collaboratively in a dynamic fast-paced production environment

• Willingness and ability to learn internal systems/processes/programs; able to work proficiently in multiple systems and databases

• Willingness to work a flexible schedule to accommodate business needs, including weekend shifts and holidays

• Basic math skills and general PC knowledge including Microsoft Office, Internet, email

• Strong verbal and written communication skills, and interpersonal skills

• Demonstrated organizational and time-management skills, with ability to work independently

Preferred Qualifications

• Associate's degree in business, health care or related area of study

• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)

• 2 years of related experience in PBM/health care

• Demonstrated proficiency in the use of RxClaim and all necessary resources

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.

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.