Healthcare Benefits Navigator

Benefits Navigator

With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Our unique business model combines the personal touch of locally operated pharmacies with the robust support of our Atlanta-based corporate team, ensuring best-in-class pharmacy care for our customers.

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.

The ideal candidate will be based in the Mountain or Pacific time zones to best support our growing West Coast business.

The Role:

The Benefits Navigator is instrumental in supporting customers with Medicare drug plan selection, plan optimization and plan enrollment. Responsible for providing Medicare drug plan comparisons and educating our customers on available plan options in the market. Through conducting plan comparisons, the Benefits Navigator ensures customers understand out of pocket expenses under available plans. The second important function of this role is speaking with Non-dispense Residents (NDRs) that admit into the facilities we service and attempt to win over their business. This role reports to the Director, Plan Optimization and Services and works with other Benefit Navigators to maximize customer savings and provide a seamless enrollment process.

Day-to-Day Responsibilities:

• Utilize reporting to identify newly admitted potential customers and/or current customers that may qualify for a Special Enrollment Period.
• Using pharmacy's point of sale system in conjunction with an online vendor, explain customer's current insurance coverage and provide personalized plan comparison ensuring customer understands available plan options and can make informed plan selection.
• Receive inbound and place outbound calls to facilities and customers to provide plan comparison and plan optimization. Assist customers in plan enrollment.
• Using scheduling software, schedule appointments with customers for plan optimization during Medicare Open Enrollment facilitating seamless and efficient enrollment process.
• Facilitate warm transfer to customers requesting a licensed insurance agent.
• Accurately track customer assistance and record enrollment progress
• Provide customer service to internal and external customers as needed.
• Through customer engagement and satisfaction, assist in the achievement of National Account partnered objectives.
• Make quality cold calls to potential customers explaining LTC pharmacy services provided and how it assists the facility in proper medication management.
• Other essential functions and duties may be assigned by supervisor as needed

Education:

• High School diploma required, college degree in business preferred
• Pharmacy Technician registration preferred

Knowledge, Skills, and Abilities:

• Pharmacy experience preferred
• Strong knowledge of 3rd party insurance requirements
• Collections and claim adjudication experience preferred
• FrameworkLTC or QS1 experience preferred
• Excellent computer skills, including MS Office (Excel, Word, Teams)
• Excellent verbal and written communication skills; professional demeanor
• Strong attention to detail and analysis skills
• Ability to maintain confidentiality at all levels
• Ability to work to deadlines and balance multiple priorities
• Strong work ethic and desire to excel
• Bilingual (English/Spanish) desired but not required

Attributes Required:

• Work Ethic/Integrity must possess intrinsic drive to excel coupled with values in line with company philosophy
• Strategy and Planning ability to think ahead, plan and manage time efficiently
• Problem Solving ability to analyze causes and solve problems at both a strategic and functional level with minimal direction
• Team Oriented ability to work effectively and collaboratively with all team members
• Detail Oriented ability to provide attention to detail
• Organizational ability to organize work around multiple priorities and deadlines

What We Offer:

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, "Treat others as you would like to be treated." Compensation & Financial

• Competitive pay
• 401(k) with company match

Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)

• Medical, Dental and Vision
• Health Savings Accounts and Flexible Spending Accounts
• Company-paid Basic Life and Accidental Death & Dismemberment
• Company-paid Long-Term Disability and optional Short-Term Disability
• Voluntary Employee and Dependent Life, Accident and Critical Illness
• Dependent Care Flexible Spending Accounts

Wellbeing

• Employee Assistance Program (EAP)
• Guardian Angels (Employee assistance fund)

Time Off

• Paid holidays and sick days
• Generous vacation benefits based on years of service

The Guardian Difference

Our clients require pharmacy services that aren't "cookie cutter." That's why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients' needs.

Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.

Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today's dynamic business environment.

At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.

Guardian Pharmacy Services