Pharmacy Member Outreach Specialist – Patient Impact

Prominence-Health-Plan; Reno (NV); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Loan Forgiveness Program

401(K) with company match

SoFi Student Loan Refinancing Program

Career development opportunities

Job summary

Prominence Health Plan seeks a motivated Member Outreach Pharmacy Representative to connect with members by phone, educate them on health insurance offerings, and address inquiries. The role supports quality improvement and acts as a lead in resolving drug-related care gaps during telephonic outreach.

The position requires strong customer service, knowledge of pharmacy dispensing laws, and the ability to work across departments.

Qualifications

• High School diploma or equivalent required.
• Current and valid state licensure as a pharmacy technician is preferred.
• Current PTCB license preferred.
• 3+ years' experience in outbound calls to members or patients preferred.
• 3+ years' in retail/community pharmacy preferred.
• Exceptional customer service skills over the phone.
• Understanding of health plan departments and problem resolution.
• Knowledge of current state laws pertaining to pharmacy dispensing.

Responsibilities

• Liaison between Prominence Health Plan, members, and contracted providers.
• Contact Prominence Health Plan members by phone to educate them on health insurance offerings and services.
• Respond to inquiries and assist with quality improvement initiatives.
• Lead efforts to resolve drug-related care gaps during member outreaches.
• Develop and support the outreach program; provide education and technical assistance as needed.

Skills

Customer service

Communication

Problem solving

Team collaboration

Self-motivation

Attention to detail

Education

High School diploma

PTCB license preferred

State pharmacy technician license preferred

Tools

Microsoft Office

Excel

Adobe/Word/Outlook

Job description

Prominence Health Plan seeks a motivated Member Outreach Pharmacy Representative to connect with members by phone, educate them on health insurance offerings, and address inquiries. The role supports quality improvement and acts as a lead in resolving drug-related care gaps during telephonic outreach.

The position requires strong customer service, knowledge of pharmacy dispensing laws, and the ability to work across departments.