Customer Experience Specialist – Remote Managed Care Support & Pharmacy Member Services Representative

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About careerzynith At careerzynith, we believe that exceptional customer experiences are the foundation of better healthcare outcomes. As an impact-driven organization at the forefront of healthcare innovation, careerzynith touches virtually every aspect of the healthcare ecosystem, delivering insights, products, and services that make quality care more accessible, affordable, and effective for millions of people. Our commitment extends beyond our customers to the patients, providers, and communities we collectively serve. We are known for fostering a workplace culture where every team member can thrive, grow, and make a meaningful difference. At careerzynith, your well-being matters just as much as the well-being of those we serve. We care deeply about the health, happiness, and professional fulfillment of our employees, and we empower every individual to bring fresh ideas, innovative thinking, and genuine passion to their work each day. Together, we are shaping the future of health for patients, our communities, and the dedicated professionals who make it all possible. Position Overview careerzynith is seeking a dedicated and customer-focused Customer Experience Specialist to join our growing Managed Care support team in a fully remote capacity. This is an exciting opportunity for a seasoned customer service professional who is passionate about healthcare, problem-solving, and delivering exceptional service to pharmacy members across the country. In this role, you will serve as a vital link between careerzynith and our valued Health Mart Atlas pharmacy members, providing expert guidance, resolving complex inquiries, and ensuring that every interaction reflects the high standards of service our members have come to expect. If you want to be part of tomorrow's healthcare today, careerzynith wants to hear from you. Work Schedule and Location This position is fully remote , allowing you to work from the comfort of your own home while making a meaningful impact on healthcare delivery. Standard hours of operation are 1000 AM to 700 PM Central Time (CT) , providing consistent daytime scheduling while allowing flexibility in your daily routine. Key Responsibilities As a Customer Experience Specialist at careerzynith, you will play a critical role in supporting our Health Mart Atlas pharmacy members through multiple communication channels. Your responsibilities will include Inbound Call and Email Support Answering incoming calls and email requests from existing Health Mart Atlas pharmacies regarding a wide range of Managed Care needs, including adjudication issues, payment research, contract solicitations, and reimbursement inquiries. Each interaction requires a thoughtful, accurate, and timely response. Issue Resolution and Triage Providing immediate answers when possible, conducting thorough research within internal systems when needed, and triaging complex issues to appropriate departments, particularly those involving PBM (Pharmacy Benefit Manager) contracts or payment matters. Outbound Communication Making proactive outbound calls to current customers to follow up on open issues, return voicemails left for the department, and participate in strategic call campaigns designed to enhance member satisfaction and engagement. Documentation and Follow-Up Maintaining detailed and accurate call notes for all inquiries and interactions, ensuring efficient resolution tracking and providing a seamless experience for both members and internal teams. Cross-Functional Collaboration Working closely with cross-functional teams to ensure the careerzynith value proposition is clearly identified and effectively communicated with members, including updates on contract changes, industry news, and emerging trends that may impact their operations. Dedicated Account Management Once tenured in the role, serving as a dedicated representative to assigned chains or buying groups, building long-term relationships and becoming a trusted point of contact for key accounts. Continuous Learning Staying current on industry developments, careerzynith product offerings, and best practices in managed care pharmacy support to provide the most accurate and helpful information to our members. Essential Qualifications To succeed in this role at careerzynith, candidates should possess the following Experience A minimum of 3+ years of related customer service experience , preferably in a healthcare, pharmacy, insurance, or managed care environment. Demonstrated ability to handle complex inquiries and deliver satisfactory resolutions is essential. Communication Skills Excellent verbal and written communication abilities, with a professional and empathetic telephone presence. You must be able to explain complex information clearly and concisely to diverse audiences. Customer Service Excellence A genuine passion for helping others and a commitment to delivering exceptional service experiences. You understand that every interaction is an opportunity to build trust and strengthen relationships. Time Management Strong organizational skills with the ability to prioritize multiple tasks, manage competing deadlines, and maintain productivity in a fast-paced remote environment. Problem-Solving Abilities Strong analytical and critical thinking skills, with the ability to research issues, identify root causes, and propose effective solutions. Technical Proficiency Comfort with computer systems, CRM platforms, and various communication tools. Ability to learn new software and internal systems quickly. Follow-Up Discipline A proactive approach to case management, ensuring that every open issue is tracked, addressed, and resolved in a timely manner. Preferred Qualifications While not required, the following qualifications will distinguish exceptional candidates Prior experience in pharmacy, PBM, or managed care customer service Familiarity with pharmacy adjudication processes and healthcare reimbursement Experience working with cross-functional teams in a matrixed organization Knowledge of healthcare industry trends , contract structures, and regulatory considerations Demonstrated success in account management or dedicated customer relationship roles Skills and Competencies for Success At careerzynith, we recognize that success in this role requires a unique blend of technical knowledge, interpersonal skills, and personal attributes. The ideal candidate will demonstrate Empathy and Patience The ability to understand member concerns, acknowledge their challenges, and respond with genuine care and understanding. Adaptability Comfort with changing priorities, evolving customer needs, and dynamic business requirements in a rapidly evolving healthcare landscape. Attention to Detail Meticulous accuracy in documentation, data entry, and communication, particularly when handling sensitive contract and payment information. Collaboration A team-oriented mindset with the willingness to support colleagues, share knowledge, and contribute to collective success. Resilience The ability to handle challenging conversations and difficult inquiries with professionalism and composure. Initiative A self-motivated approach to identifying opportunities for improvement, solving problems proactively, and continuously enhancing the member experience. Career Growth and Development Opportunities At careerzynith, we are deeply committed to the professional growth and development of every team member. When you join our Customer Experience team, you gain access to Structured Career Progression Clear pathways for advancement from Customer Experience Specialist to Senior Specialist, Team Lead, and beyond into management and specialized roles. Mentorship Programs Pairing with experienced professionals who can guide your development and help you navigate your career journey. Learning and Development Resources Access to ongoing training, industry certifications, and educational opportunities to expand your expertise in managed care, pharmacy operations, and customer service excellence. Cross-Functional Exposure Opportunities to work with teams across careerzynith, gaining valuable insights into different aspects of our business and building a well-rounded professional skill set. Leadership Development For those who aspire to leadership, careerzynith provides dedicated programs to develop the skills and competencies needed to lead teams effectively. Work Environment and Company Culture careerzynith is more than a workplace; it is a community of passionate professionals united by a shared mission to improve healthcare for all. Our culture is built on the following pillars Collaboration We believe that the best outcomes are achieved when we work together, share ideas, and support one another. Innovation We encourage creative thinking and bold ideas, empowering every team member to contribute to our collective success. Integrity We conduct ourselves with the highest ethical standards, building trust with our members, partners, and colleagues. Inclusion We are committed to fostering a diverse and inclusive environment where every voice is valued and every perspective matters. Well-Being We prioritize the physical, mental, and emotional well-being of our employees, recognizing that healthy, happy team members are the foundation of our success. As a remote team member, you will be fully integrated into the careerzynith culture through virtual team-building activities, regular check-ins, comprehensive onboarding, and ongoing engagement opportunities that ensure you feel connected and supported regardless of your physical location. Compensation and Benefits careerzynith is proud to offer a competitive compensation package as part of our comprehensive Total Rewards program. Compensation is determined by several factors, including individual performance, experience, skills, equity considerations, regular job market evaluations, and geographical market conditions. Base Pay Range $17.63 - $29.38 per hour, depending on experience and qualifications. In addition to base pay, other compensation opportunities may be available, including Annual performance-based bonuses Long-term incentive opportunities Comprehensive health, dental, and vision insurance Retirement savings plans with company matching Paid time off, holidays, and personal days Wellness programs and employee assistance resources Professional development reimbursement For more detailed information regarding the full range of benefits available to careerzynith team members, our HR team will be happy to provide a comprehensive overview during the interview process. Equal Employment Opportunity at careerzynith careerzynith is an Equal Opportunity Employer committed to building a diverse and inclusive workforce. We provide equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other characteristic protected by applicable law. We believe that a diverse team brings richer perspectives, drives better decision-making, and ultimately enables us to better serve our members and communities. careerzynith is dedicated to creating an environment where every individual feels valued, respected, and empowered to contribute their unique talents. How to Apply If you are a motivated customer service professional with a passion for healthcare and a desire to make a meaningful impact, we encourage you to apply today. Join careerzynith and become part of a team that is shaping the future of healthcare while building a rewarding career in a supportive, dynamic, and innovative environment. Bring your skills, your experience, and your commitment to excellence to careerzynith, where every interaction matters and every team member has the opportunity to thrive. We look forward to welcoming you to our team and working together to deliver exceptional experiences for the pharmacies and patients we serve. Apply now and start your journey with careerzynith today. Apply for this job

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