Member Care Advocate

Manage assigned member cases using the population health management system, ensuring timely completion and accuracy Serve as a liaison between members, pharmacies, and prescribers to coordinate care and resolve issues Respond to member inquiries and requests in a professional and timely manner Handle email communications and administrative tasks aligned with service expectations Support concierge-level services and assist with member-focused projects under pharmacist supervision Provide high-quality, consistent, and empathetic support to members Resolve member escalations efficiently within defined turnaround times Ensure adherence to KPIs related to call handling, case resolution, and service quality Deliver best-in-class member experience through attention to detail and responsiveness Follow all applicable laws, regulations, and internal processes Collaborate with Clinical Account Executives and Client Management teams on member-related needs Communicate effectively across internal departments to ensure coordinated care delivery Maintain documentation accuracy and compliance within systems and workflows Requirements Pharmacy Technician Certification (CPhT) Minimum 2 years of experience in PBM, health plan, or MTM call center environment OR 4 years in hospital/retail pharmacy setting Strong proficiency in Microsoft Office Suite Excellent verbal and written communication skills Strong time management and ability to work in a fast-paced environment Customer service orientation with a focus on delivering high-quality member experience Ability to work onsite 5 days per week—THIS IS NOT A REMOTE OPPORTUNITY Core Competencies Demonstrates expertise in managing member cases within a population health management system, ensuring compliance with regulations and delivering exceptional customer service. Proficient in communication and collaboration across departments to enhance member experience and resolve issues efficiently. Highest-signal resume keywords Pharmacy Technician Certification (CPhT) Experience in PBM, Health Plan, or MTM Call Center Environment Proficiency in Microsoft Office Suite Customer Service Orientation Time Management Skills ATS Optimization Keywords Hard Skills Population Health Management System Case Management Documentation Accuracy Call Handling Service Quality Adherence Soft Skills Verbal Communication Written Communication Empathy Attention to Detail Responsiveness Certifications & Qualifications Pharmacy Technician Certification (CPhT) Industry Keywords PBM Health Plan MTM Call Center Hospital Pharmacy Retail Pharmacy #J-18808-Ljbffr Jobtailor