- Act as a dedicated advocate for members, addressing copay card concerns and/or escalations from our external partners related to Cost Containment programs.
- Offer account support to clients and members related to claims support within the Cost Containment programs.
- Maintain subject matter expertise in all cost containment programs, including drug programs and vendor processes.
- Effectively provide white-glove service by ensuring timely management of caseloads for members .
- Effectively communicate and interact with all other internal EmpiRx Health departments in a manner that fosters team work and unity.
- Foster collaborative relationships with external partners and vendors to ensure the delivery of concierge-level services to members and clients.
- Minimum 3 years of working with specialty programs
- Strong customer service orientation and commitment to delivering concierge-level service
- Proficient in Microsoft Office Suite
- Ability to work in a fast-paced environment
- Ability to think critically and strategically
- Time management skills with ability to meet tight deadlines
- Excellent verbal and written communication skills
- 2 years of experience in PBM, health plan, or equivalent preferred
- BS (bachelor's degree) preferred
- Special Programs: financial assistance programs preferred
- EmpiRx Health is on an extraordinary journey where excellence meets innovation.
- We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
- You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
- We offer a generous and competitive benefits package.
- You will share in the company's success through our discretionary bonus program.
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Cost Containment Specialist - Orlando, United States - EmpiRx Health
Description
Who We Are:
EmpiRx Health is the leading clinically-driven, customer-first PBM company that puts the pharmacist at the center of its service model to optimize member care while substantially reducing costs for plan sponsors.
What We Do:
We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Project Manager. In this critical role, you will be instrumental in optimizing our data architecture, ensuring data accuracy, and building scalable solutions to support the company's business needs. You will be responsible for generating high quality data extracts for clients, vendors, and partners. You will be instrumental in the developing, testing, and maintenance of internal applications. You will support business users to allow for business continuity.
If you are a highly motivated Project Manager who is extremely detail orientated, driven, and is an intellectually curious mid-level project manager who is hungry for the next step in their career.
Who We're Looking For:
EmpiRx Health is experiencing unprecedented growth, and we're seeking a highly skilled and experienced Cost Containment Specialist. In this critical role, you will enable EmpiRx Health to deliver on our commitment of producing sustainable savings to our clients and providing a white-glove level of service to members through various cost containment programs. If you are highly motivated and passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.
What You'll Do:
As a Cost Containment Specialist, your role will encompass a wide range of responsibilities:
What You Need:
Why Join Us:
EmpiRx Health is an Equal Opportunity Employer
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're not just breaking down barriers but actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.
Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
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