Member Care Specialist

PrudentRx, LLC • Tampa, FL

2d • Remote

About The Position

As a Member Care Specialist, you’ll be a trusted guide for members navigating copay assistance and enrollment programs, providing accurate, compassionate support in a fast-paced and complex professional environment. Your work will directly impact lives every single day.

This role is ideal for someone who thrives in a high-volume call center, thinks critically, and enjoys solving problems in real time. You’ll multitask across systems, adapt to a dynamic, not highly scripted workflow, and take pride in delivering first-call resolutions. In addition, you’ll be joining a growing company that values collaboration and gives you the opportunity to positively impact both callers and coworkers every day.

Requirements

• High School Diploma or GED
• 1 to 2 years of recent Call Center experience in a fast-paced setting
• Professional, clear, and compassionate phone demeanor and attitude at all times
• Computer navigation skills, including multiple screens, simultaneous systems use, phone and CRM systems
• Ability to maintain a high level of confidentiality and always remain HIPAA compliant
• Excellent verbal and written communication skills for both note-taking and call purposes
• (25/25mp) to execute all job functions. Additionally, the employee must provide a private workspace with a desk and chair, free from distraction.

Nice To Haves

• Experience with Salesforce or other CRM software
• Certified Pharmacy Tech (CPhT) or healthcare customer service a plus
• Bi-lingual in English/Spanish is a plus

Responsibilities

• Work inbound and outbound member calls, assisting with the enrollment process.
• Act as a subject matter expert to provide members with clear, accurate, and up-to-date information regarding program eligibility, requirements, and other enrollment needs.
• Provide members with tactful and compassionate support throughout the enrollment process (while maintaining professionalism)
• Escalate unresolved cases and pending member grievances.
• Utilize the Salesforce CRM database to verify member data to complete enrollment.
• Generate detailed records and notes of inquiries, comments, and interactions via CRM
• Work assigned queues and/or cases as directed by call center leadership
• Complete all necessary continued learning and training requirements per department and company need
• Other essential duties as assigned

Benefits

• Eligible for benefits within 30 days
• Health (family)
• Dental
• Vision
• STD, LTD, Critical Illness and Accident
• Company Paid Life Insurance
• Company Paid Holidays (6)
• PTO cashout and rollover options.
• Tuition Reimbursement
• 401(k) 100% company match up to 4% 90 days

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED