Member Care Advocate

EmpiRx Health

Member Care Advocate delivering administrative oversight and case management support at EmpiRx Health. Focusing on member inquiries, escalations, and coordination with pharmacies.

Posted 7/29/2026full-timeMontvale • New Jersey • 🇺🇸 United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing member cases within a population health management system, ensuring compliance with regulations and delivering exceptional customer service. Proficient in communication and collaboration across departments to enhance member experience and resolve issues efficiently.

Highest-signal resume keywords

Pharmacy Technician Certification (CPhT)Experience in PBM, Health Plan, or MTM Call Center EnvironmentProficiency in Microsoft Office SuiteCustomer Service OrientationTime Management Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Population Health Management SystemCase ManagementDocumentation AccuracyCall HandlingService Quality Adherence

Soft Skills

Verbal CommunicationWritten CommunicationEmpathyAttention to DetailResponsiveness

Certifications & Qualifications

Pharmacy Technician Certification (CPhT)

Industry Keywords

PBMHealth PlanMTMCall CenterHospital PharmacyRetail Pharmacy

Tech Stack

Tools & technologies

AngularAWSAzureCloudCyber SecurityETLGoogle Cloud PlatformJavaKafkaMicroservicesPythonRabbitMQReactSQLUnity

About the role

Key responsibilities & impact

Manage assigned member cases using the population health management system, ensuring timely completion and accuracy
Serve as a liaison between members, pharmacies, and prescribers to coordinate care and resolve issues
Respond to member inquiries and requests in a professional and timely manner
Handle email communications and administrative tasks aligned with service expectations
Support concierge-level services and assist with member-focused projects under pharmacist supervision
Provide high-quality, consistent, and empathetic support to members
Resolve member escalations efficiently within defined turnaround times
Ensure adherence to KPIs related to call handling, case resolution, and service quality
Deliver best-in-class member experience through attention to detail and responsiveness
Follow all applicable laws, regulations, and internal processes
Collaborate with Clinical Account Executives and Client Management teams on member-related needs
Communicate effectively across internal departments to ensure coordinated care delivery
Maintain documentation accuracy and compliance within systems and workflows

Requirements

What you’ll need

Pharmacy Technician Certification (CPhT)
Minimum 2 years of experience in PBM, health plan, or MTM call center environment OR 4 years in hospital/retail pharmacy setting
Strong proficiency in Microsoft Office Suite
Excellent verbal and written communication skills
Strong time management and ability to work in a fast-paced environment
Customer service orientation with a focus on delivering high-quality member experience
Ability to work onsite 5 days per week—THIS IS NOT A REMOTE OPPORTUNITY

Benefits

Comp & perks

Paid Time Off
401(k) program
Health Insurance including Dental & Vision coverage
Health Savings Account
Employee Assistance Program