Managed Care Advocate

You are applying for a position through Medix, a staffing agency. Our client is seeking a dedicated Patient Care Advocate to manage member caseloads, providing support through the medication access process. Conduct outreach to members, pharmacies, provider offices, and healthcare partners to coordinate prescriptions and resolve access barriers.
Educate members on patient advocacy, medication savings, and affordability programs.
Assist with Patient Assistance Programs (PAPs), Copay Assistance, Specialty Pharmacy Enhanced Care Management (ECMP), and international medication savings programs.
Coordinate with provider offices to obtain prescriptions, prior authorizations, and required documentation.
Maintain accurate documentation of member interactions, case updates, outreach, and next steps.
Collaborate with Pharmacy, Clinical, Client Success, Quality, and Operations teams to resolve member issues.
Communicate member feedback, trends, and workflow challenges to support process improvement.
Maintain HIPAA compliance and adhere to company policies and healthcare regulations.
Proficiency with Microsoft Office applications.
Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).

• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

This job requires compliance with all U.S. laws and regulations.

* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

* This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.