Client Support Specialist

ProCare Rx; Gainesville (GA); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive Health Benefits

Paid vacation and holiday pay

Employee Wellness Program

401 k with company match

Employee Assistance Program

Employee referral program

Job summary

ProCare Rx in Gainesville, GA seeks an experienced professional to support client services operations in plan design and benefit configuration. You will manage plan changes, analyze claims, coordinate with implementation, and provide technical guidance across teams to ensure accurate setup and ongoing service.

This role requires strong Microsoft Office skills, analytical problem solving, and excellent communication.

Qualifications

• Associates Degree in Business or Healthcare is preferred, or equivalent background in operations and customer relationships.
• Pharmacy Tech or PBM experience a plus.
• Proficient in Microsoft Office and exposure to industry-related applications and software.
• Analytical, problem solving, and critical thinking skills are required.
• Self-motivated with the ability to work independently or in a team in a fast-paced environment.

Responsibilities

• Provide backend support of plan design and benefit configuration to the Client Services team.
• Manage plan changes and requests, with guidance on structures and changes to benefit setup.
• Evaluate claims for proper payment and assist with plan changes as needed.
• Maintain systems user access for Account Managers and Clients.
• Produce quarterly reporting and service level tracking.
• Develop knowledge of client objectives and plan designs.

Skills

Analytical thinking

Problem solving

Time management

Communication

Self-motivation

Education

Associates Degree in Business or Healthcare

Tools

Microsoft Office

PBM software

Job description

Duties include but are not limited to:

• Provide backend support of plan design and benefit configuration to the Client Services team.
• Effectively manage plan changes and requests, while providing technical guidance on structures, analyze and review changes, and successfully implementing benefit changes/set up.
• Ability to logically evaluate claims for proper payment and assist as needed with plan changes.
• Assist in benefit setups and changes.
• Conduct regular service/relationship communications with clients.
• Identifying, researching, resolving, and providing prompt follow up to all service requests.
• Assist and coordinate with system testing and quality assurance submissions.
• Maintain systems user access for Account Managers and Clients.
• Manage system training for clients.
• Produce quarterly reporting and service level tracking.
• Develop and maintain a working knowledge of client's objectives, plan designs, and overall needs of clients.
• Understand and support all internal workflow, while providing ideas and suggestions for improved processes.
• Collaborate with cross-functional teams to represent client(s) internally and coordinate functions such as problem resolution, system implementations, project completion and/or to address ongoing pharmacy service needs.
• Utilizes various data and analytics tools to prepare reports, written communication, and/or presentations as needed.
• Employ project management and problem-solving skills.
• Work with the Implementation team to provide a smooth transition to ongoing Client Services following Go Live and with new plan changes and setup.
• Understand and support all internal workflow, while providing ideas and suggestions for improved processes.
• Maintain ProCare Rx systems to assure documentation of client communications and client information is updated and accurate; includes but not limited to; new addresses, client contacts, plan notes, and documentation.
• Communicate regularly and as required with Client Services leaders, to provide necessary, timely feedback and assessment of active projects, and/or any relevant information/tasks.
• Assist leadership with project management tasks as needed.
• Contribute to a team effort by performing other duties as may be assigned (*see attachment)

Qualifications and Requirements

• Associates Degree in Business or Healthcare field preferred; or any combination of education and experience which would provide an equivalent background, managing business operations and/or customer relationships, ideally in Healthcare Operations.
• Pharmacy Tech or PBM experience a plus.
• Proficient in Microsoft Office and other exposure to industry-related applications and software.
• Prior employment in a position requiring use of analytical, problem solving, and critical thinking skills.
• Self-motivated, with the ability to work both independently, as well as cohesively within a team setting, with limited supervision in a fast-paced environment with timely turnarounds
• Exceptional organizational and time management skills
• Exceptional verbal and written communication skills to effectively communicate with peers, colleagues, and all levels of management

Physical Demands

Requires sitting, standing, and occasional light lifting.

The Perks of Joining Our Team:

We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

• Comprehensive Health Benefits:Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
• Time to Recharge:Paid vacation and holiday pay.
• Focus on Your Wellness:We offer a robust Employee Wellness Program.
• Invest in Your Future:401 k with a company match.
• Support System:Employee Assistance Program provides confidential support and counseling.
• Get Rewarded for Referring Great People:Employee referral program.

ProCare Rx is an Equal Opportunity Employer.