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Job Posting Title

Member Outreach Coordinator Sr-5Job Description

The Member Outreach Coordinator Sr is responsible for leading proactive member engagement and outreach efforts to ensure timely coordination of care and optimal program participation. This role is designed to support Prime's Pharmacy Match product by helping patients navigate their specialty pharmacy benefit through personalized outreach, communication excellence, and alignment with program goals that drive measurable outcomes.

Responsibilities

• Serve as the primary point of contact for members enrolled in Advocate+, providing guidance and support related to their specialty pharmacy benefit
• Conduct outbound and inbound calls to educate members on their prescribed specialty medications, pharmacy assignment, and next steps in their treatment journey
• Assist members in navigating financial assistance options, including manufacturer copay programs and foundation support
• Collaborate with pharmacies, prescribers, and payers to resolve barriers to medication access or adherence
• Document all member interactions and case updates in internal systems with accuracy and timeliness
• Identify and escalate complex member issues or clinical concerns to appropriate internal teams or supervisors
• Maintain a strong understanding of program processes, payer requirements, and specialty pharmacy workflows
• Deliver an empathetic, solutions-oriented member experience that aligns with Advocate+ guiding principles and client expectations
• Other duties as assigned

Minimum Qualifications

• High school diploma from an accredited school or equivalent GED

• 2 years of work experience in healthcare customer service

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Strong understanding of medical terminology and diagnostic codes
• Strong communication skills, both verbal and written
• Proficient with MS Office Suite, specifically Excel
• Basic knowledge and experience in mail order or specialty pharmacy

Preferred Qualifications

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.