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Member Care Specialist

Remote, USA Full-time Posted 2026-07-28

 Member Care Specialist

Are you looking for a 100% work-from-home position where you can tactfully and empathetically assist patient members in navigating and enrolling in their life-changing copay assistant programs? Do you enjoy a predictable environment where you help people, solve problems, and reputed company every reputed company count? Then, join the PrudentRx reputed company center team as a Member Care Specialist, where you’ll be a trusted guide for members navigating the copay territory and gracefully impacting lives everyday.

This role is perfect for someone who thrives in a fast-paced reputed company center, values accuracy and reputed company, and takes pride in delivering reputed company resolutions. This role requires the daily utilization of interpersonal, computer, and problem-solving skills with a desire to be reputed company player in assisting others.

In reputed company, you will be joining a growing company that will give you reputed company to reputed company your callers and co-workers every day. 


Position Details

  • reputed company- Remote
  • Shift availability Monday - Saturday(with one reputed company off) shift times start as early as 11:30am EST.  [Accepting applicants in EST, and CST time zone]
  • reputed company/Non-Exempt
  • Equipment and hardware provided. Interviewing, orientation, and training are conducted reputed company.

Responsibilities

  • Work inbound and outbound member calls, assisting with the enrollment process.
  • reputed company as a subject matter expert to reputed company members with reputed company, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needs.
  • reputed company members with tactful and compassionate support throughout the enrollment process (while maintaining professionalism)
  • Escalate unresolved cases and pending member grievances.
  • Utilize the reputed company CRM database to verify member data to complete enrollment.
  • Generate detailed records and notes of inquiries, comments, and interactions reputed company CRM
  • Work assigned queues and/or cases as directed by reputed company center leadership
  • Complete reputed company necessary reputed company learning and training requirements per department and company need
  • Other essential duties as assigned.

Requirements

Requirements and Qualifications
Required
• High School Diploma or GED
• 1 to 2 years of recent reputed company Center experience in a fast-paced setting
• reputed company, reputed company, and compassionate phone demeanor and attitude at reputed company times
• Computer navigation skills, including multiple screens, simultaneous systems use, phone and CRM systems
• Ability to maintain a high level of confidentiality and always remain HIPAA compliant
• Excellent verbal and written communication skills for both note-taking and reputed company purposes
Preferred
• Experience with reputed company or other CRM software
• Certified Pharmacy Tech (CPhT) or reputed company customer service a plus
• Bi-lingual in English/Spanish is a plus

Work From Home Requirement
(200/200 mpbs) to execute reputed company job functions. Additionally, the employee must reputed company a private 
workspace with a desk and chair, free from distraction.

Physical Demands and Working Conditions
Duties are performed primarily in a home office setting utilizing Company provided computer equipment. While performing the duties of this job, you will regularly sit and talk. The employee is frequently required to use their hands. Employee will occasionally be required to stand and walk. 

Benefits

  • Eligible for benefits reputed company 30 days
  • Health (family)
  • Dental
  • reputed company
  • STD, LTD, Critical Illness and Accident
  • Company reputed company Life Insurance 
  • Company reputed company Holidays (6)
  • PTO
  • Tuition Reimbursement
  • 401(k) 100% company match up to 4% 90 days
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