Customer Care Representative

To support a dynamic health technology company, the part-time Customer Care Representative will efficiently manage incoming calls from members and pharmacies, providing exceptional customer service and issue resolution while working remotely. Key responsibilities: Triage incoming phone calls with professionalism, identifying and resolving member and pharmacy issues promptly Document and escalate concerns to the appropriate internal teams, ensuring effective communication of issues and solutions Support the Fraud, Waste, and Abuse program by reviewing pharmacy claims information and communicating findings to internal staff Required qualifications: High school diploma or equivalent; Associate's or Bachelor's degree preferred 2+ years of customer service, call center, or healthcare experience, with a focus on relationship building 2+ years of experience in Pharmacy Benefit Management (PBM) or related healthcare fields required Ability to work independently in a remote, fast-paced, metric-driven environment Bilingual Spanish highly preferred; Medicare experience preferred