Prime Therapeutics LLC is hiring a Senior Client Concierge Specialist to join our team remotely. In this role, you will be responsible for processing, documenting, and tracking complex member cases for Pharmacy Concierge Services. You will serve as a key contact, interacting with members, pharmacies, prescribers, and plans to resolve escalated inquiries and support concierge program functions, contributing to our purpose-driven mission of connecting care for those we serve.

What You'll Do

Set up, track, and monitor daily workflow based on client needs.
Analyze and troubleshoot complex cases by researching, gathering, and documenting information in claims processing and case management systems within pre-determined timelines.
Act as a point of escalation for inquiries that cannot be resolved by Client Concierge Specialists, handling and resolving these issues directly.
Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing and case management systems.
Handle phone, email, and fax communications related to the concierge program for inbound and outbound functions.
Manage work queues and volumes to meet client-specific turnaround times.

What We're Looking For

A 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.
Eligibility to work in the United States without the need for work visa or residency sponsorship.
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, and 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.

Nice to Have

An Associate's degree in business, health care, or a related area of study.
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT).
2 years of related experience in PBM or health care.
Demonstrated proficiency in the use of RxClaim and all necessary resources.

Technical Stack

Microsoft Office
RxClaim

Benefits & Compensation

Compensation: $19.23 - $28.85 per hour.

Work Mode

This is a remote position open to candidates located within the United States.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer, encouraging diverse candidates to apply. All qualified applicants receive consideration without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class.