You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking empathetic, detail-oriented, and customer-focused Member Advocates to join a fast-growing Pharmacy Benefit Management (PBM) team. In this remote role, you will serve as a vital link between health plan members, pharmacies, and prescribing providers. You will assist callers with pharmacy benefit inquiries, coverage eligibility, claim rejections, and prior authorization tracking.

This position is ideal for experienced Healthcare Customer Service Representatives, Pharmacy Technicians, or Medical Intake Specialists who thrive in a fast-paced environment and enjoy providing high-touch support to patients in need.

Start Date: 10/30/2026

Duration: October through February with possibility of performance-based conversion

Requirements:

• 2+ years of current experience handling high volume calls preferably in a pharmacy/PBM/hospital/managed care environment.
• Must have experience with prior authorizations.
• Pharmacy Technician experience—certified or in-progress is a plus.
• Proven record of strict attendance and punctuality, particularly during the initial 60-day onboarding period.

Key Responsibilities

• Inbound & Outbound Call Handling: Manage 45–50 calls per day during peak volume, assisting members, retail pharmacies, and physician offices with clarity and empathy.
• Benefit & Coverage Navigation: Guide members through complex prescription benefits, formulary coverage, copay structures, and self-service online portal registration.
• Prior Authorization & Claims Support: Assist callers with rejected claims and explain prior authorization (PA) status and procedures. (~60% of daily interactions involve PA guidance).
• Provider & Pharmacy Collaboration: Work directly with prescriber offices and pharmacies to verify patient eligibility, resolve billing disputes, and ensure continuity of care.
• Documentation & Accuracy: Log detailed, accurate notes in internal tracking systems and call management platforms following every interaction.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients