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Customer Service Representative – Pharmacy Benefits & Client Care Specialist at careerzynith – Full‑Time, Monroeville, PA
About careerzynith careerzynith is a leading, Fortune‑4 health‑care organization dedicated to delivering compassionate, human‑focused services that improve the lives of millions every day. With a mission to “bring our heart to every moment of your wellbeing,” careerzynith blends cutting‑edge technology with a deep commitment to personal service, creating a supportive environment where employees thrive and customers receive the care they deserve. Our Client Care division, part of the Pharmacy Benefit Management (PBM) business, plays a pivotal role in helping members navigate their prescription drug benefits, understand coverage options, and resolve inquiries with empathy and expertise. Why This Role Matters As a Customer Service Representative on the careerzynith Client Care team, you will be the trusted voice that guides members through complex pharmacy benefit plans. Your ability to listen, solve problems, and convey information clearly will directly impact members’ health outcomes and satisfaction. This position offers a unique blend of on‑the‑job learning, professional development, and the chance to make a tangible difference in the lives of individuals and families across the United States. Key Responsibilities Answer inbound member calls with a warm, patient‑first approach, providing accurate information on prescription drug coverage, formularies, and mail‑order services. Assist members in navigating their pharmacy benefit plans, explaining eligibility, cost‑sharing details, and alternative medication options. Document each interaction in careerzynith’s CRM system, ensuring compliance with privacy regulations and internal quality standards. Identify opportunities to educate members about additional resources, such as specialty pharmacy programs, adherence tools, and wellness initiatives. Collaborate with internal teams—including Pharmacy Operations, Clinical Services, and IT—to resolve complex issues and streamline processes. Participate in ongoing training sessions, both classroom‑based and virtual, to stay current on policy updates, product enhancements, and regulatory changes. Maintain a high level of professionalism and empathy, consistently meeting or exceeding service level agreements (SLAs) and key performance indicators (KPIs). Contribute ideas for continuous improvement, sharing frontline insights that help shape careerzynith’s member experience strategy. Essential Qualifications Education Bachelor’s degree (any discipline) or equivalent work experience. Experience Minimum of 1 year of customer‑facing experience in a call‑center, retail, hospitality, or related environment. Military experience is also valued. Technical Skills Proficiency with Windows‑based applications, including Microsoft Office Suite and CRM platforms. Communication Excellent verbal and written communication skills, with the ability to convey complex information in a clear, concise manner. Location Reside within a 75‑mile radius of Monroeville, PA, and able to work on‑site or in a hybrid setting as required. Preferred Skills & Attributes Demonstrated ability to handle challenging situations with positivity, patience, and a solutions‑oriented mindset. Strong problem‑solving skills, with a track record of following through on commitments until resolution. Consistent adherence to quality and compliance standards, ensuring accurate documentation and data integrity. Empathy and compassion that translate into genuine member satisfaction and loyalty. Team‑player attitude, willing to share knowledge, mentor new hires, and collaborate across departments. Flexibility to adapt to evolving processes, new technology rollouts, and shifting business priorities. What We Offer – Compensation & Benefits careerzynith values the contributions of every team member and offers a competitive compensation package that includes Hourly wage ranging from $20 to $30, commensurate with experience and performance. Comprehensive health, dental, and vision insurance plans with employer contributions. Retirement savings options, including a 401(k) plan with company match. Paid time off (PTO), holidays, and flexible scheduling to support work‑life balance. Employee assistance programs (EAP) and wellness resources to promote mental and physical health. Tuition reimbursement and professional development funds for continued learning. Employee discount programs and access to exclusive careerzynith wellness initiatives. Career Growth & Learning Opportunities careerzynith invests heavily in the growth of its people. As a member of the Client Care team, you will benefit from Structured Onboarding A 6‑week intensive training curriculum that blends classroom instruction, hands‑on simulations, and mentorship. Continuous Skill Development Ongoing workshops covering advanced pharmacy benefit concepts, regulatory updates, and soft‑skill enhancement. Career Pathways Clear advancement routes to senior client care roles, team lead positions, and specialized areas such as Pharmacy Operations, Clinical Services, or Quality Assurance. Cross‑Functional Exposure Opportunities to work on projects with IT, analytics, and product development teams, broadening your expertise and visibility within careerzynith. Leadership Programs Access to careerzynith’s emerging leader initiatives, designed to cultivate future managers and executives. Our Culture & Work Environment At careerzynith, we foster an inclusive, collaborative, and purpose‑driven culture where every voice matters. Our core values—Heart, Integrity, Innovation, and Respect—guide how we interact with members, partners, and each other. Highlights of our workplace include Diversity & Inclusion A commitment to building a workforce that reflects the communities we serve, with employee resource groups (ERGs) and inclusive policies. Community Impact Volunteer programs and charitable initiatives that allow employees to give back to local neighborhoods. Flexible Work Options Hybrid schedules that blend on‑site collaboration with remote productivity, tailored to individual needs. Recognition & Rewards Regular acknowledgment of outstanding performance through awards, spot bonuses, and peer‑to‑peer recognition platforms. Health & Wellness On‑site fitness centers, wellness challenges, and mental‑health resources to support a balanced lifestyle. Day‑to‑Day Snapshot Imagine starting your day with a brief huddle where team leads share key updates, followed by a focused block of member calls. You’ll use careerzynith’s state‑of‑the‑art CRM to log each interaction, consult with subject‑matter experts when needed, and close each conversation with a clear next step for the member. Between calls, you’ll engage in micro‑learning modules, share best practices with peers, and contribute to continuous‑improvement initiatives that shape the future of pharmacy benefits. Application Process If you are passionate about helping people navigate their health‑care journey, thrive in a fast‑paced environment, and are eager to grow within a leading industry player, we want to hear from you. Follow these steps to apply Prepare an updated resume highlighting relevant customer‑service experience and any healthcare or military background. Craft a concise cover letter that showcases your empathy, problem‑solving abilities, and why careerzynith’s mission resonates with you. Submit your application through the link below. Our recruiting team will review your materials and reach out to schedule a virtual interview. Apply Now Join careerzynith and Make a Difference At careerzynith, your work matters. Every call you take, every question you answer, and every solution you provide contributes to healthier lives and stronger communities. We invite you to bring your heart, your talent, and your ambition to a place where you can truly make an impact. Apply today and start a rewarding career with careerzynith! Apply for this job