At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Medication Therapy Management Specialist

Job Description

The Medication Therapy Management (MTM) Service Specialist is responsible for receiving inbound and making outbound calls to qualified members across all lines of business to review the benefits of the MTM program. This position speaks with members to gather and document accurate information about the member and/or the members’ medications and related disease states using the MTM Program system and processes.

Responsibilities

• Receive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant
• Utilize Prime’s MTM process management system to record member specific information
• Assess beneficiary information to ensure appropriate interaction is scheduled with appropriate MTM clinician (i.e., Pharmacist)
• Perform outreach calls to pharmacies to research contact information
• Address and triage queries regarding MTM related topics by transferring calls to MTM staff or other department help lines
• Document MTM eligibility and program status in the applicable software systems (i.e., MSA Toolbox, RX Claim)
• Other responsibilities as assigned

Minimum Qualifications

• High School diploma from an accredited school or equivalent GED

• 1 year of work experience in customer service

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Has suitable home office (i.e., chair, desk, internet, etc.) that meet Prime required standards (if work from home position)
• Strong interpersonal communication skills with focus on professional demeanor and empathy
• Strong verbal and written communication and problem-solving skills
• Strong organization skills with the ability to handle multiple tasks, prioritize and meet deadlines
• Proficient in Excel, Word, and system operations (e.g. workflow processes and case management)
• Government programs (Medicare) knowledge

Preferred Qualifications

• Contact Center experience
• Pharmacy and/or PBM experience
• 1 year of experience in healthcare industry
• Experience working with highly confidential medical information
• CPhT certification
• Fluency in another language (Spanish)

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $17.85 – $25.48 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the “Benefits at a glance” button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Remote Technical Customer Service Specialist

Excellent Training, Career Opportunities, a Great Culture, and Great Benefits!

Enjoy a positive, employee-friendly culture while playing an important role in supporting our clients with their relational database, SSL, and server needs.

 Starting Pay $17.31 Per Hour – Full time – Weekdays 11 am to 8 pm EST.

From the start, our paid training program will teach you all the skills needed to allow you to become successful in your role. We also offer a full benefits package from day one, so you’ll be able to thrive both personally and professionally. 

About the Role 

You will be supporting our client’s customers as the first point of contact. You will answer questions concerning their accounts. You will help customers with their account issues while providing them with exceptional customer service. 

As a Remote Technical Customer Service Specialist, you will be responsible for: 

• Identifying customer needs, answering questions, or resolving problems related to SSL, servers and/or relational data bases.
• Performing routine call center activities concerning business products and services.
• Using the tools provided to guide you through customer conversations. 
• Providing customers with important information while communicating in a warm empathetic manner.
• Gathering information to keep customer profiles and accounts up to date.
• Using your computer knowledge to give exceptional customer service.

Requirements 

 To be successful in this role you will: 

• Have a high school diploma or equivalent. 
• Be able to successfully pass a criminal background check. 
• Have legal authorization to work permanently in the United States without requiring a visa transfer or visa sponsorship.
• Have at least 6 months of customer service work experience.
• Typing Speed of 30WPM or higher.
• Have knowledge of desktop and portable devices.
• Have knowledge of relational databases, SSL and/or Servers.
• Have wired internet service (No Wi-fi or Satellite); Internet speed test will confirm that speeds meet the requirements of Download speed 10mbps or higher, Upload speed of 3mbps or higher and ping results lower than 175ms.
• Secured workspace that has a door that separates you from the rest of your home. 

Work in a way that works for you

At Conduent we want you to be yourself. We recognize that everyone is different and that the way in which people want to work and deliver at their best is different for everyone too. 

In this role, we can offer the following working schedule: 

• Monday through Friday – 11am – 8pm EST

Working with us 

Join a rapidly growing organization that can support your career goals. 

Working for you

What you get: 

• Paid Training 
• Career Growth Opportunities 
• Full Benefit Options 
• Great Work Environment 
• Weekends and holidays normally off 

Join Us

Are you seeking an opportunity to make a real impact in a company that appreciates ideas and new ways of thinking? Come join us and grow with a team of people who will challenge and inspire you to be the best! 

We are currently NOT hiring in the following geographies, including but not limited to: 

States: AK, CA, CT, HI, IL, MA, MD, MT, NJ, NY, OR, WA
Metro Areas: Minneapolis – MN, Washington, DC, Denver/County of Boulder/Edgewater County – CO

Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $17.31 per hour. 

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.

For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded:  click here to access or download the form.  Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent’s ADAAA Accommodation Policy.