Southern Pharmacy Services Winston-Salem, USA
14 days ago
Regional Benefits Navigator- Seasonal
Kernersville, North Carolina, United States of America

Extraordinary Care. Extraordinary Careers.

With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.

Southern Pharmacy Services, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Kernersville, North Carolina.

Why Southern Pharmacy Services? We’re reimagining medication management and transforming care.

Who We Are and What We’re About:

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.

The Role:

The Healthcare Benefits Navigator is instrumental in supporting customers with Medicare drug plan selection, plan optimization and plan enrollment.  Responsible for providing Medicare drug plan comparisons and educating our customers on available plan options in the market.   Through conducting plan comparisons, the Healthcare Benefits Navigator ensures customers understand out of pocket expenses under available plans.  This role works with other Healthcare Patient Navigators to maximize customer savings and provide a seamless enrollment process.

Day-to-Day Responsibilities:

Utilize reporting to identify newly admitted potential customers and/or current customers that may qualify for a Special Enrollment Period. Using pharmacy’s point of sale system in conjunction with an online vendor, explain customer’s current insurance coverage and provide personalized plan comparison ensuring customer understands available plan options and can make informed plan selection.Receive inbound and place outbound calls to facilities and customers to provide plan comparison and plan optimization. Assist customers in plan enrollment.Using scheduling software, schedule appointments with customers for plan optimization during Medicare Open Enrollment facilitating seamless and efficient enrollment process. Facilitate warm transfer to customers requesting a licensed insurance agent.Accurately track customer assistance and record enrollment progressProvide customer service to internal and external customers as needed.Through customer engagement and satisfaction, assist in the achievement of National Account partnered objectives.Other essential functions and duties may be assigned by supervisor as needed

Education:

High School diploma required, college degree in business preferredPharmacy Technician registration preferred

Knowledge, Skills, and Abilities:

Pharmacy experience preferredStrong knowledge of 3rd party insurance requirementsCollections and claim adjudication experience preferredFrameworkLTC or QS1 experience preferredExcellent computer skills, including MS Office (Excel, Word, Teams) Excellent verbal and written communication skills; professional demeanorStrong attention to detail and analysis skillsAbility to maintain confidentiality at all levelsAbility to work to deadlines and balance multiple prioritiesStrong work ethic and desire to excel

What We Offer:

Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of, “Treat others as you would like to be treated.”

Compensation & Financial

Competitive pay401(k) with up to 3.5% company match (1)

Family, Health & Insurance Benefits (1), (2)

Multiple health plan options including copay (FSA-eligible) and HSA eligible plansWellness Incentive ProgramDental and Vision plansCompany-paid basic life, AD&D and long-term disability coverageOptional employee, spouse, and child life/AD&D insuranceOptional accident, critical illness, and short-term disability coverageDependent Care Flexible Spending AccountsEmployee Assistance Program (EAP)

Time Off 

Paid holidays and sick daysGenerous vacation benefits based on years of service

(1) Eligibility begins the first of the month following 30 days of employment

(2) Full-time employees only, excluding EAP which is available to all Guardian employees

The Guardian Difference

Our clients require pharmacy services that aren’t “cookie cutter.” That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs.

Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.

Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment.

At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.

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