Description

The Clinical Advocate will collaborate closely with member advocates and various teams across Scripta, including Account Management, Business Operations, Marketing, Sales, and the Clinical Insights Team. The ideal candidate will possess exceptional communication and customer service skills, a pleasant phone demeanor, and the ability to function as a team player. They will work independently with minimal oversight, maintaining professionalism in day-to-day activities. Critical thinking skills are essential for assessing members based on provided data (claims and eligibility) and engaging them in discussions to enhance outcomes related to pharmacy utilization.

Company Culture and Environment

Scripta fosters a collaborative and supportive work environment where teamwork and communication are valued. The organization is dedicated to enhancing member experiences through a member-obsessed approach.

Career Growth and Development Opportunities

This position presents the opportunity to engage in significant member interactions and contributions that can influence the company’s growth and direction. Employees are encouraged to take initiative and develop their skills within a dynamic healthcare landscape.

Detailed Benefits and Perks

• Flexible working hours to meet the needs of clients and members.
• Independent contractor position allowing for autonomy in work schedule.
• Competitive compensation structure based on experience.

Compensation and Benefits

• Compensation: \(1,600 - \)1,800 USD Monthly (Based on experience).
• Schedule: Coverage hours are 8:30 AM – 10:00 PM EST.
• Internet and computer expenses must be covered by the Contractor.
• Initial engagement for six months with the possibility of indefinite continuation.

Why you should apply for this position today

This role offers a unique chance to influence member health outcomes positively and be part of a mission-driven organization. If you are passionate about making a difference in the healthcare sector while enjoying the flexibility of remote work, this position is for you.

Skills

• Bi-lingual: Fluency in English and Spanish.
• Excellent listening, verbal, and written communication skills.
• Ability to prioritize and manage large volumes of work efficiently.
• Self-motivated and proactive.
• Strong customer service orientation – must be member-obsessed!
• Proficient in navigating the internet and using multiple operating systems and applications.
• Understanding of HIPAA standards and upholding privacy in member engagements.
• Problem-solving skills to identify needs and implement changes effectively.

Responsibilities

• Initiate and respond to member outreach and engagement via phone, email, or online chat.
• Provide education and answer questions about Scripta and members’ medication utilization.
• Evaluate member needs and offer cost-saving alternatives as identified by Scripta software.
• Identify community resources to help reduce medication costs.
• Produce high-quality documentation regularly.
• Provide feedback to ancillary teams and clients based on member engagement and claims analysis.
• Conduct telephonic outreach for targeted member campaigns.
• Complete special projects as assigned.
• Maintain HIPAA compliance in daily activities.

Qualifications

• Education: Must meet one of the following:
  1. Bachelor’s Degree (Preferred) or equivalent secondary level nursing with a current RN license and 2+ years of clinical experience.
  2. B.S. Pharm or PharmD with current US licensure.
  3. LPN with 5+ years of experience in an acute clinical setting.
• Experience in healthcare/insurance/pharmaceutical industry (Preferred).
• Case Management and PBM Industry Knowledge (Preferred).

Education Requirements

• Must meet one of the following educational criteria:
  1. Bachelor’s Degree or equivalent secondary nursing level with an RN license.
  2. B.S. Pharm or PharmD with US licensure.
  3. Licensed Practical Nurse (LPN) with adequate clinical experience.

Education Requirements Credential Category

• Bachelor’s Degree (Preferred) or equivalent nursing qualification.

Experience Requirements

• Minimum of 2 years in retail pharmacy for pharmacists.
• 3 years of experience in a medical/nursing role in the USA (Required).
• 3 years of experience in the healthcare industry (Required).

Why work in Philadelphia, PA

Philadelphia is a vibrant city rich in history and culture, offering a unique blend of urban living and access to nature. This city boasts a strong healthcare infrastructure and professional development opportunities, making it an ideal location for individuals looking to advance their careers while enjoying a well-rounded lifestyle.