Healthcare Benefits Navigator

Guardian Pharmacy•Atlanta, GA

About The Position

Extraordinary Care. Extraordinary Careers. With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career. Our unique business model combines the personal touch of locally operated pharmacies with the robust support of our Atlanta-based corporate team, ensuring best-in-class pharmacy care for our customers. Why Guardian Pharmacy? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you. The Role: The Benefits Navigator is instrumental in supporting customers with Medicare drug plan selection, plan optimization and plan enrollment. Responsible for providing Medicare drug plan comparisons and educating our customers on available plan options in the market. Through conducting plan comparisons, the Benefits Navigator ensures customers understand out of pocket expenses under available plans. The second important function of this role is speaking with Non-dispense Residents (NDRs) that admit into the facilities we service and attempt to win over their business. This role reports to the Director, Plan Optimization and Services and works with other Benefit Navigators to maximize customer savings and provide a seamless enrollment process.

Requirements

High School diploma required, college degree in business preferred
Pharmacy Technician registration preferred
Pharmacy experience preferred
Strong knowledge of 3rd party insurance requirements
Collections and claim adjudication experience preferred
FrameworkLTC or QS1 experience preferred
Excellent computer skills, including MS Office (Excel, Word, Teams)
Excellent verbal and written communication skills; professional demeanor
Strong attention to detail and analysis skills
Ability to maintain confidentiality at all levels
Ability to work to deadlines and balance multiple priorities
Strong work ethic and desire to excel
Bilingual (English/Spanish) desired but not required
Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
Strategy and Planning – ability to think ahead, plan and manage time efficiently
Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level with minimal direction
Team Oriented – ability to work effectively and collaboratively with all team members
Detail Oriented – ability to provide attention to detail
Organizational – ability to organize work around multiple priorities and deadlines

Responsibilities

Utilize reporting to identify newly admitted potential customers and/or current customers that may qualify for a Special Enrollment Period.
Using pharmacy’s point of sale system in conjunction with an online vendor, explain customer’s current insurance coverage and provide personalized plan comparison ensuring customer understands available plan options and can make informed plan selection.
Receive inbound and place outbound calls to facilities and customers to provide plan comparison and plan optimization.
Assist customers in plan enrollment.
Using scheduling software, schedule appointments with customers for plan optimization during Medicare Open Enrollment facilitating seamless and efficient enrollment process.
Facilitate warm transfer to customers requesting a licensed insurance agent.
Accurately track customer assistance and record enrollment progress
Provide customer service to internal and external customers as needed.
Through customer engagement and satisfaction, assist in the achievement of National Account partnered objectives.
Make quality cold calls to potential customers explaining LTC pharmacy services provided and how it assists the facility in proper medication management.
Other essential functions and duties may be assigned by supervisor as needed

Benefits

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”
Compensation & Financial Competitive pay
401(k) with company match
Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)
Medical, Dental and Vision
Health Savings Accounts and Flexible Spending Accounts
Company-paid Basic Life and Accidental Death & Dismemberment
Company-paid Long-Term Disability and optional Short-Term Disability
Voluntary Employee and Dependent Life, Accident and Critical Illness
Dependent Care Flexible Spending Accounts
Wellbeing Employee Assistance Program (EAP)
Guardian Angels (Employee assistance fund)
Time Off Paid holidays and sick days
Generous vacation benefits based on years of service