Cost Containment Specialist

Cost Containment Specialist Location Hybrid remote in Orlando, FL :

Who We Are:

EmpiRx Health is a disruptor in an ever-changing healthcare industry, offering a market-differentiating, value-based pharmacy benefits management solution. We are bold and fearless in our approach to healthcare, how we talk about ourselves, and our use of advanced technology and analytics.

What We Do:

We partner with HR and Benefits managers nationwide to ensure our membership has access to the best pharmacy benefits available. 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. Our pharmaceutical staff daily consults with physicians to drive the greatest clinical and financial outcomes.

Employee-Centric Culture:

At EmpiRx Health, our employees are our most valuable asset. We've earned recognition as an award-winning leader in healthcare by investing in our employees. We are committed to fostering a culture of excellence and continuous improvement. Our approach to performance management is designed to empower employees to achieve their full potential while contributing to the overall success of the organization. Our leadership teams drive the employee experience with a strength-based learning and development approach. We've fostered an environment where every voice is heard, and talents are nurtured. At EmpiRx Health, we celebrate groundbreaking ideas, encourage collaboration, and value open dialogue.

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 enable EmpiRx Health to deliver on our commitment of producing sustainable savings to our clients and providing a white-glove level of service to members through various cost containment programs. If you are highly motivated and 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 .
• Manage escalations promptly, adhering to defined practices, with a targeted 24-48 hour turnaround time.
• 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

Preferred:

• 2 years of experience in PBM, health plan, or equivalent
• BS (bachelor's degree)
• Special Programs: financial assistance programs

Benefits and Perks:

At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand. It's about creating an environment where employees thrive both professionally and personally. As a valued member of our team, you'll have access to a range of benefits designed to support your overall wellbeing and enhance your work-life balance:

• Medical, prescription, vision, dental, life, and disability insurance, with coverage for domestic partnerships.
• A 401K match program to secure your financial future.
• Parental leave for childbirth and adoption.
• Student loan reimbursement.
• Additional perks include flexible PTO, hybrid work arrangements, online wellness resources and counseling access, and an employee discount program.

Join EmpiRx Health, where we are transforming the healthcare landscape with innovation and unwavering commitment to our employees and members. Make a difference and grow with us!

Work Environment: Hybrid in Orlando, Florida

EmpiRx Health is an Equal Opportunity Employer

At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.

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