Member Services Specialist

Member Services Specialist

  • Home
  • Full Time
  • R-04942

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Member Services Specialist

Job Description

The Member Services Specialist is responsible for interacting with Prime members, pharmacies and doctors’ offices by providing support and assistance with order processing and general account benefit inquiries.


  • Receive incoming calls or emails from members, pharmacies, doctor’s offices about requests for information on medication and benefits
  • Investigate and resolve member inquiries in a timely manner or escalate to appropriate team member
  • Adhere to and reinforce Prime and departmental standard operating procedures and training guidelines specific to HIPAA
  • Other duties as assigned

Minimum Qualifications:

  • High School Diploma or GED is required
  • 1 year of customer service experience
  • Must be eligible to work in the United States without 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 PC Skills with ability to navigate multiple software systems simultaneously
  • Strong communication skills with focus on professional demeanor and empathy
  • Ability to multitask
  • Detail oriented

Preferred Qualifications:

  • Contact Center experience
  • Some college coursework
  • CPhT certification
  • Fluency in another language (Spanish)
  • Pharmacy Benefit Management or other Healthcare experience
  • Work from home (remote) experience (where applicable)

Minimum Physical Job Requirements:

  • Ability to sit 6 or more hours per day
  • Occasionally required to stand, walk and stoop, kneel, and crouch
  • Ability to work a flexible schedule including evenings, weekends, holidays, overtime
  • Ability to work with a set, pre-determined break and lunch schedule

Reporting Structure:

  • Reports to Supervisor in the Contact Center


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Prime Therapeutics

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