10.26.26 GP Member Services Specialist Clinical

Member Services Specialist -Entry Level

C4 Technical Services is seeking customer-focused and compassionate Member Services Specialists to join our team for a seasonal opportunity. In this role, you will serve as the primary point of contact for members, pharmacies, and healthcare providers, assisting with benefit questions, medication inquiries, and order processing needs. This position involves a high volume of inbound phone calls and requires excellent communication skills, attention to detail, and the ability to navigate multiple systems while delivering exceptional customer service.

Key Responsibilities:

• Respond to incoming calls and emails from members, pharmacies, and healthcare providers regarding prescription benefits, medications, and account inquiries.
• Investigate and resolve customer concerns accurately and efficiently.
• Escalate complex issues to appropriate team members when necessary.
• Process requests and document interactions in accordance with established procedures.
• Maintain compliance with HIPAA regulations and all Prime Therapeutics policies and procedures.
• Provide professional, empathetic, and solution-oriented customer support.
• Perform additional duties and special projects as assigned.

Required Qualifications:

• High School Diploma or GED required.
• Minimum of one (1) year of customer service experience.
• Strong verbal and written communication skills.
• Ability to multitask and manage competing priorities in a fast-paced environment.
• Strong computer proficiency with the ability to navigate multiple applications simultaneously.
• Must be authorized to work in the United States without current or future sponsorship requirements.

Remote Work Requirements:

• Reliable high-speed internet service.
• Workspace with appropriate desk and chair.
• Ability to work without frequent interruptions.
• Equipment setup completed prior to training.

Preferred Qualifications:

• Contact center or call center experience.
• Healthcare, Pharmacy Benefit Management (PBM), or insurance industry experience.
• Certified Pharmacy Technician (CPhT) certification.
• College coursework or degree progress.
• Bilingual skills, particularly Spanish.
• Prior remote/work-from-home experience.

Physical Requirements:

• Ability to remain seated for extended periods (6+ hours per day).
• Occasionally required to stand, walk, bend, stoop, kneel, or crouch.
• Ability to work flexible schedules, including evenings, weekends, and holidays, as business needs require.

Why Join C4!

• Work remotely from the comfort of your home.
• Gain valuable healthcare and customer service experience.
• Opportunity for contract extension and potential long-term employment based on performance and business needs.
• Join a team dedicated to helping members access the medications and care they need.

Apply today to become part of a team that makes a meaningful impact on people's health and well-being every day.