Patient Care Advocate - WA/OR Licensed

To support patient care in Washington and Oregon, the remote Patient Care Advocate - WA/OR Licensed will serve as a liaison between patients and healthcare providers, utilizing expertise in pharmacy benefits to resolve complex issues and ensure members receive optimal care and support. Key responsibilities: Act as a subject matter expert on pharmacy and medical benefit structures, interpreting coverage and resolving benefit questions Independently assess and manage complex benefit inquiries, providing tailored guidance to members and providers Analyze claims and maintain accurate documentation, identifying trends and recommending process improvements Required qualifications: Must reside in Washington or Oregon Bachelor's degree in a healthcare-related field or equivalent experience 4+ years of experience in pharmacy benefits, managed care, or patient advocacy Strong knowledge of healthcare regulations, prior authorization, and payer processes Proficiency with claims, benefit verification, and case management systems