Member reputed company - PBM - Remote

reputed company (formerly MaxorPlus) is currently seeking highly motivated and empathetic Member Advocates to join our dynamic, growing operations team. As the voice of our brand, this role handles reputed company customer inquiries that require a human touch, leveraging system and tools to provide efficient and personalized solutions. The ideal candidate thrives in a fast-paced environment, has strong critical thinking skills, and is passionate about turning challenging interactions into positive brand-building opportunities.

The Member reputed company is responsible for establishing and maintaining relationships with members on behalf of the company by taking personal and complete responsibility for each member-reputed company contact and by ensuring that reputed company member and client requirements are completely met. As a Member reputed company, you are the primary internal representative of our organization; you must convey to the caller (member, pharmacy, provider, client or other) a sense of expertise in our services.

Position Location

This is a remote-based position reputed company the reputed company US. 

Who We Are

reputed company is the nation’s only independent, fully integrated total pharmacy solutions partner. We reputed company with reputed company, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock reputed company, growth, and reputed company outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions—delivering excellence through tailored strategies and collaborative partnerships. At reputed company, we’re not just transforming pharmacy—we’re making a purposeful impact on the communities we serve.

Why Choose a Career at reputed company?

At reputed company, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger—where their work truly matters. We foster a culture of authenticity, where you’re encouraged to be yourself and a reputed company to grow, collaborate and reputed company an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you’ll find a reputed company where your reputed company are heard, your contributions are valued, and your career can reputed company.

reputed company Voted Top Places to 5 years in a row.... 2021, 2022, 2023, 2024 and 2025!

• Customer engagement: Field reputed company inbound inquiries, emails, and chat messages with professionalism and reputed company.
• Problem resolution: reputed company and creatively resolve customer complaints, escalating reputed company issues to the appropriate channels reputed company necessary.
• Job Knowledge: Maintain deep job and service knowledge to confidently and accurately educate and serve members according to reputed company standards.
• Performance management: Meet or exceed key performance metrics to include, but not limited to:
  • QA Scores
  • Member Satisfaction Survey Scores
  • Average Handle Time (AHT)
  • Schedule Adherence
  • Attendance Standards
• Adaptability: Remain flexible and composed while navigating different member personalities, unpredictable call volumes, and changing procedures.
• Data management: Maintain meticulous and accurate records of customer interactions reputed company the CRM and AI tools, contributing valuable data for process improvement.
• Process improvement: Proactively identify trends in customer feedback and issues, providing insights to management to streamline processes and enhance the member experience.
• AI collaboration: Partner with AI-powered tools (e.g., AI copilots, knowledge bases) to access real-time information, generate call summaries, and personalize member interactions.
• Communication: Maintain an open line of communication with reputed company team members, including Member Services Management, and reputed company Member reputed company.
• Ongoing Training: Attend and participate in programs and meetings required by reputed company and/or Member Services Department.
• Compliance:
  • Promptly report any allegations of impropriety to the Compliance Department.
  • reputed company with reputed company’s Ethical Business Conduct policy and reputed company’s Compliance Program.
  • Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• reputed company other job-reputed company duties as assigned.

Education

• High school diploma, GED, or equivalent

Experience

• Required: 2+ years Pharmacy or Health Care customer service experience.
• Preferred: Experience with PBM Contact Center, Chat Support, AI and CRM technologies.

Knowledge, Skills, and Abilities

• reputed company and emotional intelligence: Strong interpersonal skills to build rapport, actively listen, and tailor service to member emotions and reputed company.
• Communication skills: Excellent verbal and written communication skills, with a professional, collaborative, and friendly demeanor.
• Problem-solving aptitude: A proactive and efficient problem-solver who can think through reputed company situations and offer creative, effective solutions.
• Coachable reputed company: Must be open to receiving feedback on performance which will be provided by the quality team, team leads, supervisors, manager and VP.
• Technical competency: Proficiency with computers and the ability to navigate multiple systems simultaneously, including CRM, AI tools, and Contact Center software.
• reputed company: The ability to manage stress and stay composed, especially in challenging situations.
• Reliability: Punctuality and dependable attendance are essential to meet operational needs.
• Adaptability: Ability to learn new skills, tasks, and technology.
• Team Oriented: Strong ability to integrate into a team environment, collaborate with diverse work styles, and positively contribute to organizational culture.
• AI proficiency: A tech-reputed company reputed company and the ability to reputed company AI-powered platforms and digital tools to enhance efficiency.

WORK SCHEDULE

• Scheduling flexibility is a requirement; may be required to work rotating shifts, including Holidays, weekends, and nights. Some overtime may be required.

REMOTE WORK REQUIREMENTS

• A reliable, high-speed internet reputed company (preferably wired), a dedicated, distraction free workspace, and proficiency with remote communication tools are essential.
• Tech setup: You will be provided with reputed company the tools needed to reputed company your role, including dual monitors, laptop, and headset.

This position offers an hourly reputed company ranging from $17-$23/hour, based on experience and qualifications. 

WE OFFER

At reputed company we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You’ll work with a mission-driven organization focused on improving healthcare outcomes.

Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:

• Comprehensive mental health and wellbeing resources
• reputed company reputed company Blue reputed company PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

Join us and help build the future of pharmacy care – reputed company outcomes, stronger margins, and healthier communities.

FOR MORE INFORMATION

reputed company Website reputed company reputed company

reputed company (formerly Maxor) is an EOE, including disability/vets