MotivHealth

Pharmacist

• Answer inbound pharmacy benefit questions
• Assist in office duties which include intake of faxes, calls, and emails
• Maintain frequent phone contact with internal staff, external clients, and external pharmacies
• Primary point of contact for member and physician inquiries
• Provides support to ensure efficient referral processing from intake to triaging of prescription coverage
• Coordinates and facilitates problem resolution for pharmacy and benefit issues
• Utilize established protocols to determine root cause of escalated inquiries and ensure resolutions are provided in a timely manner
• Work independently and with the intake team to complete assigned pharmacy cases in accordance with standard operating policies and procedures and defined responsibilities to complete program enrollment, answer inquiries, and coordinate access to therapies
• Other related duties and projects, as assigned, to support business needs and the pharmacy team overall

Pharmacy Intake Specialist

Account Manager

• Serve as the primary point of contact for assigned self-funded employer groups and broker partners
• Build and maintain strong, long-term relationships with decision-makers and key stakeholders
• Act as a trusted advisor by providing strategic guidance on benefit plan performance and cost-containment opportunities
• Oversee the administration of self-funded plans, ensuring compliance with ERISA, HIPAA, ACA, and other regulatory requirements
• Analyze claims data, utilization trends, and reporting to develop actionable recommendations for clients
• Collaborate with underwriting, clinical, and compliance teams to optimize plan design and manage risk for client renewals
• Identify opportunities for cross-selling and upselling additional products and services
• Support the development and delivery of client presentations to secure new business and retain existing accounts
• Partner with broker networks to enhance market reach and generate growth
• Drive annual plan reviews and renewal processes, ensuring proactive preparation and timely execution
• Lead client strategy meetings, presenting financial reports, trend analyses, and innovative cost-saving solutions
• Maintain accountability for client satisfaction scores and retention metrics