Member Services Representative - Specialty Pharmacy Benefit Management

Company

Archimedes

About Us

Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $0.00 - USD $0.00 /Hr.

STAR Bonus % (At Risk Maximum)

0.00 - Ineligible

Work Schedule Description (e.g. M-F 8am to 5pm)

Contact Center Business Hours-Range 7AM-7PM Hybrid 3 Days in Office

Overview

Archimedes is seeking a Representative, Member Services (SPBM) to join our team!

The Representative, Member Services (SPBM) is responsible for responding to routine member, pharmacy, and physician-office inquiries through supported service channels. Using established procedures, systems, and resources, the Representative provides accurate information, documents interactions, completes standard transactions, and escalates issues that require additional research, specialized knowledge, or higher authority. The role builds foundational knowledge of SPBM programs and contributes to service, quality, productivity, and customer-experience goals.

Is this you? Find out more below! 

Responsibilities

How do I make an impact on my team?

• Provide professional and courteous service to members, pharmacies, physician offices, and internal customers through assigned inbound, outbound, and written service channels.
• Handle routine pharmacy and physician-office inquiries within assigned base-level queues by following established procedures, scripts, workflows, and reference materials.
• Verify information, research standard questions, complete assigned transactions, and communicate accurate next steps within the scope of the role.
• Document customer interactions, actions taken, outcomes, and required follow-up accurately and completely in designated systems.
• Create or update tickets and service requests when required and route work to the appropriate resource according to established procedures.
• Recognize inquiries involving additional complexity, financial risk, regulatory concerns, or exceptions and escalate them appropriately.
• Meet established expectations for schedule adherence, attendance, productivity, quality, documentation, and customer service.
• Maintain current knowledge of assigned SPBM programs, processes, systems, and service expectations by completing required training and updates.
• Protect confidential and personal information and follow applicable privacy, security, compliance, and departmental requirements.
• Participate in coaching, team meetings, training, and continuous-improvement activities.
• Other duties as assigned.

Qualifications

What our team expects from you?  

• High school diploma or GED required.  
• Experience in Healthcare, Pharmacy, or Customer Service preferred.
• Experience in Call Center or Contact Center preferred.
• Ability to learn multiple systems, programs, procedures, and service workflows required.
• Basic proficiency with Microsoft Office applications and customer-service technology required.
• Participate in, adhere to, and support compliance program objectives.  
• The ability to consistently interact cooperatively and respectfully with other employees.  

What can you expect from Archimedes? 

• Top of the industry benefits for Health, Dental, and Vision insurance
• 20 days paid time off
• 4 weeks paid parental leave
• 9 paid holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and Professional Membership assistance
• Referral Bonus Program – up to $750! 

#LI-Hybrid

Location : Address

502 Earth City Expy STE 300

Location : City

Earth City

Location : State/Province

MO

Location : Postal Code

63045

Location : Country

US