Epic Health Solutions · 2 weeks ago
Member Engagement Specialist (BILINGUAL)
Dallas, TX, US
Full-time
Hybrid
New Grad, Entry Level
0+ years expVUMI Canada, Inc. is focused on enhancing member engagement through their VerusPath program. The Member Engagement Specialist will guide members through the enrollment process, ensure timely medication delivery, and support onboarding for new client groups while collaborating with internal teams to optimize member satisfaction.
Health CareMedicalWellness
Responsibilities
Enroll members under the VerusRx benefits plan in the International Pharmacy Program
Confidently explain the enrollment process and set clear expectations for medication delivery timelines
Educate members, groups, and clients on VerusPath and its benefits
Accurately track call records and logs within a CRM system
Maintain personal metrics, maintain statistics, and track all aspects of the enrollment process
Collaborate with internal teams to ensure a high-quality member experience when utilizing VerusPath
Lead the process when a new group starts with VerusRx
Work directly with internal stakeholders to ensure all new clients are onboarded successfully
Review claims files for eligible VerusPath medications and ensure claims are uploaded into the CRM
Maintain an organized approach to new clients starting, i.e. start date, life counts, claims, etc
Meet with clients and brokers to give an overview of the VerusPath program
Continuously improve our process for onboarding new groups
Attend on-site enrollments to enroll members in the international pharmacy program
Discuss VerusPath on site at a client location and educate members
Provide a point of contact for a client if any issues arise
Provide pre-launch and post launch reporting to groups to keep them informed on their cost savings to date
Send weekly enrollment and escalation reports during the onboarding process
Provide continuous savings analysis and enrollment reports to current clients
Qualification
Required
Fluent in Spanish, both written and verbal, required
Strong analytical and problem-solving skills with attention to detail
Strong organizational skills
Excellent written and verbal communication skills
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook)
Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Sales focused mindset with the ability to work collaboratively in a team
Problem-solving outlook with a focus on delivering client-centric solutions
Understanding of HIPAA regulations and healthcare data privacy
Preferred
Bachelor's degree in Health Sciences, Public Health, Business Administration, Marketing, Pharmacy, or a related field preferred
0–2 years of relevant work experience in healthcare, sales, marketing, pharmacy, insurance, or a corporate/administrative setting
Internship or academic project experience in pharmacy benefits, sales, marketing, managed care, or healthcare operations is a plus
Familiarity with healthcare terminology, pharmacy claims, or benefits administration is a plus
Exposure to PBM industry or pharmacy operations through coursework, internship, or previous employment is a plus
Company
Epic Health Solutions
Epic Health Solutions provides network solutions, healthcare management, and medical assistance for international clients.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase