Client Support Specialist

• Provide backend support of plan design and benefit configuration to the Client Services team.
• Effectively manage plan changes and requests, while providing technical guidance on structures, analyze and review changes, and successfully implementing benefit changes/set up.
• Ability to logically evaluate claims for proper payment and assist as needed with plan changes.
• Assist in benefit setups and changes.
• Conduct regular service/relationship communications with clients.
• Identifying, researching, resolving, and providing prompt follow up to all service requests.
• Assist and coordinate with system testing and quality assurance submissions.
• Maintain systems user access for Account Managers and Clients.
• Manage system training for clients.
• Produce quarterly reporting and service level tracking.
• Develop and maintain a working knowledge of client's objectives, plan designs, and overall needs of clients.
• Understand and support all internal workflow, while providing ideas and suggestions for improved processes.
• Collaborate with cross-functional teams to represent client(s) internally and coordinate functions such as problem resolution, system implementations, project completion and/or to address ongoing pharmacy service needs.
• Utilizes various data and analytics tools to prepare reports, written communication, and/or presentations as needed.
• Employ project management and problem-solving skills.
• Work with the Implementation team to provide a smooth transition to ongoing Client Services following Go Live and with new plan changes and setup.
• Understand and support all internal workflow, while providing ideas and suggestions for improved processes.
• Maintain ProCare Rx systems to assure documentation of client communications and client information is updated and accurate; includes but not limited to; new addresses, client contacts, plan notes, and documentation.
• Communicate regularly and as required with Client Services leaders, to provide necessary, timely feedback and assessment of active projects, and/or any relevant information/tasks.
• Assist leadership with project management tasks as needed.
• Contribute to a team effort by performing other duties as may be assigned (*see attachment)

• Associates Degree in Business or Healthcare field preferred; or any combination of education and experience which would provide an equivalent background, managing business operations and/or customer relationships, ideally in Healthcare Operations.
• Pharmacy Tech or PBM experience a plus.
• Proficient in Microsoft Office and other exposure to industry-related applications and software.
• Prior employment in a position requiring use of analytical, problem solving, and critical thinking skills.
• Self-motivated, with the ability to work both independently, as well as cohesively within a team setting, with limited supervision in a fast-paced environment with timely turnarounds
• Exceptional organizational and time management skills
• Exceptional verbal and written communication skills to effectively communicate with peers, colleagues, and all levels of management

Requires sitting, standing, and occasional light lifting.

The Perks of Joining Our Team:

We believe in taking care of our team.  You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge: Paid vacation and holiday pay.
• Focus on Your Wellness: We offer a robust Employee Wellness Program.
• Invest in Your Future: 401 k with a company match.
• Support System: Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People:  Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.  All interviews are conducted in-person OR through video conference invitations from official company emails.  For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.