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
Client Concierge Specialist Sr - Remote
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.
Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
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.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [email protected].
Recommended Jobs
Product Manager Digital Experiences
Leading the future in luxury electric and mobility At Lucid, we set out to introduce the most captivating, luxury electric vehicles that elevate the human experience and transcend the perceived li…
Anesthesiologist in Saginaw, MI
TeamHealth is currently seeking a full-time anesthesiologist that is cardiac fellowship trained or cardiac comfortable to join our well-established care team at Covenant Medical Center - Cooper in Sa…
Area Sales Manager - Medical / Aesthetic Lasers (Michigan & Ohio)
Globally recognized for exceptional product performance and versatility, Fotona develops award-winning aesthetic, medical, and dental lasers. With over 50 years of laser expertise and industry lead…
Robotics Technician - Walker Area
Robotics Technician | Walker, MI Salary Range: $61,000 - $93,000 depending on experience Are you a dedicated professional with a passion for programming, maintaining, and troubles…
Chess Instructor | Winter
Area: Saline, MI. Do you love chess? Do you enjoy working with kids? Chess Wizards is seeking enthusiastic, reliable instructors to join our after-school enrichment program! If you can make lear…
Helper
The Helper will safely assist drivers and other employees in the collection of solid waste materials from a residential truck. Key Responsibilities: Collect solid waste/recyclable mater…
Test Engineer
Benefits: ~401(k) ~ Competitive salary ~ Dental insurance ~ Health insurance ~ Opportunity for advancement ~ Paid time off ~ Training & development ~ Vision insurance Bene…
Branch Manager
We are seeking a skilled and motivated Branch Manager to oversee daily operations, drive business growth, and ensure a high level of customer satisfaction. The ideal candidate will have strong leader…
Primary Care Nurse Practitioner
Join our team as a Locum Community Health Primary Care NP/PA in Atlanta, GA! We are seeking a passionate and dedicated healthcare professional to provide exceptional care to the underserved and h…