Member Engagement Specialist

National Healthcare Solutions Group•Dallas, TX

16h

About The Position

The Member Engagement Specialist drives enrollment and sustained engagement in VerusRx’s VerusPath international pharmacy program. The role guides members through enrollment, explains medication delivery timelines, and supports a seamless onboarding experience for new client groups, both virtually and through occasional on-site visits. The specialist also works across teams to optimize cost-saving opportunities and improve member satisfaction. Responsibilities include enrolling eligible members, educating members, groups, and clients about VerusPath, tracking enrollment activity and metrics in a CRM, coordinating new client implementations, reviewing claims files, and meeting with clients and brokers. The role provides pre-launch and post-launch reporting on enrollment, escalations, and savings, and attends on-site enrollment events. Success is measured by enrollment rates, medication fulfillment and shipments, client and member satisfaction, and program savings. Other duties may be assigned as required.

Requirements

0–2 years of relevant work experience in healthcare, sales, marketing, pharmacy, insurance, or a corporate or administrative setting.
Strong analytical and problem-solving skills, with attention to detail.
Strong organizational skills.
Excellent written and verbal communication skills.
Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Sales-focused mindset and ability to work collaboratively in a team.
Problem-solving outlook focused on delivering client-centric solutions.
Understanding of HIPAA regulations and healthcare data privacy.

Nice To Haves

Bachelor’s degree in Health Sciences, Public Health, Business Administration, Marketing, Pharmacy, or a related field.
Internship or academic project experience in pharmacy benefits, sales, marketing, managed care, or healthcare operations.
Familiarity with healthcare terminology, pharmacy claims, or benefits administration.
Exposure to the PBM industry or pharmacy operations through coursework, internship, or previous employment.

Responsibilities

Enroll members under the VerusRx benefits plan in the International Pharmacy Program.
Explain the enrollment process and set expectations for medication delivery timelines.
Educate members, groups, and clients about VerusPath and its benefits.
Accurately track call records, logs, enrollment statistics, and process metrics in a CRM system.
Collaborate with internal teams to support a high-quality member experience and optimize cost-saving opportunities.
Lead the implementation process when a new group starts with VerusRx and coordinate successful client onboarding with internal stakeholders.
Review claims files for eligible VerusPath medications and ensure claims are uploaded into the CRM.
Track new client details, including start dates, life counts, and claims.
Meet with clients and brokers to provide an overview of the VerusPath program.
Continuously improve the onboarding process for new groups.
Attend on-site enrollment events, enroll members, educate them about VerusPath, and serve as a client point of contact for issues.
Provide pre-launch and post-launch reporting to groups on cost savings.
Send weekly enrollment and escalation reports during onboarding.
Provide ongoing savings analyses and enrollment reports to current clients.
Meet program success metrics for enrollment, medication fulfillment and shipment, client and member satisfaction, and savings.
Perform other duties as required.