Customer Care Representative

Job Summary

To support a dynamic health technology company, the part-time Customer Care Representative will efficiently manage incoming calls from members and pharmacies, providing exceptional customer service and issue resolution while working remotely.

Key responsibilities:

• Triage incoming phone calls with professionalism, identifying and resolving member and pharmacy issues promptly
• Document and escalate concerns to the appropriate internal teams, ensuring effective communication of issues and solutions
• Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to internal staff

Required qualifications:

• High school diploma or equivalent; Associate's or Bachelor's degree preferred
• 2+ years of customer service, call center, or healthcare experience, with a focus on relationship building
• 2+ years of experience in Pharmacy Benefit Management (PBM) or related healthcare fields required
• Ability to work independently in a remote, fast-paced, metric-driven environment
• Bilingual Spanish highly preferred; Medicare experience preferred