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Cost Containment Specialist

Remote: 
Full Remote
Contract: 
Full time
Experience: 
Mid-level (2-5 years)
Work from: 
United States

Offer summary

Qualifications:

Minimum 3 years in specialty programs, Experience in PBM or health plans preferred, Proficient in Microsoft Office Suite, Bachelor’s degree preferred.

Key responsabilities:

  • Educate members on enrollment benefits
  • Address copay card concerns and escalations
  • Maintain expertise in cost containment programs
  • Manage caseloads and client interactions
EmpiRx Health logo
EmpiRx Health SME https://www.empirxhealth.com/
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Job description

Who We Are: 

EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results.  
 
What We Do: 

We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients.  

Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client management teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years.  
 
Who We're Looking For: 

EmpiRx Health is in unprecedented growth, and we're seeking a highly skilled and experienced Cost Containment Specialist. In this critical role, you will educate our members about the benefits of enrolling in the program, serve as a subject matter expert to answer any questions they have, and assist them in enrolling. After enrollment, you will ensure effective administration of the program.

If you are a highly motivated Cost Containment Specialist with a strong background in cost containment, and you are passionate about making a meaningful impact in the healthcare industry, we encourage you to apply. 

What You'll Do:
As a Cost Containment Specialist, your role will encompass a wide range of responsibilities:
  • Act as a dedicated advocate for members, addressing copay card concerns and/or escalations from our external partners related to Cost Containment programs.
  • Offer account support to clients and members related to claims support within the Cost Containment programs.
  • Maintain subject matter expertise in all cost containment programs, including drug programs and vendor processes.
  • Effectively provide white-glove service by ensuring timely management of caseloads for members .
  • Effectively communicate and interact with all other internal EmpiRx Health departments in a manner that fosters team work and unity.
  • Foster collaborative relationships with external partners and vendors to ensure the delivery of concierge-level services to members and clients.

What You Need:
  • Minimum 3 years of working with specialty programs 
  • Strong customer service orientation and commitment to delivering concierge-level service
  • Proficient in Microsoft Office Suite
  • Ability to work in a fast-paced environment
  • Ability to think critically and strategically
  • Time management skills with ability to meet tight deadlines
  • Excellent verbal and written communication skills
  • 2 years of experience in PBM, health plan, or equivalent preferred
  • BS (bachelor’s degree) preferred
  • Special Programs: financial assistance programs preferred

Why Join Us: 
  • EmpiRx Health is on an extraordinary journey where excellence meets innovation. 
  • We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement. 
  • You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together. 
  • We offer a generous and competitive benefits package. 
  • You will share in the company's success through our discretionary bonus program. 


EmpiRx Health is an Equal Opportunity Employer  

EmpiRx Health is an equal opportunity employer. We are committed to creating a diverse and inclusive environment for all employees. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 

All employment decisions are based on business needs, job requirements, and individual qualifications. We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. EmpiRx Health celebrates diversity and is committed to creating an inclusive environment for all employees. 

Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare. 
Careers - EmpiRx Health

*No recruiters, please*
 

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Cost ContainmentClaims ProcessingFinancial Aid Counseling

Other Skills

  • Customer Service
  • Microsoft Office
  • Critical Thinking
  • Time Management
  • Communication
  • Teamwork
  • Collaboration
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