FairosRx Member Advocate; Hybrid or Remote

The Occu Net Company is an innovative company striving to reduce the cost of healthcare. We are a passionate group of people that care about affordable access to healthcare without sacrificing experience. We strive to make healthcare more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach improving the health and well-being of those we serve.

We pride ourselves on our tight knit culture based on the ‘outward mindset’ philosophy, emphasizing empathy, mutual respect, and seeing each other as “whole people.” We have an ambitious vision and are growing quickly. We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us.

Fairos Rx Member Advocate

Member Advocates interact with members, pharmacies, and physicians to provide accurate information and support related to pharmacy benefits. This role handles inquiries received by phone, chat, and email, ensuring each interaction is addressed with clarity, professionalism, and compassion. The Member Advocate assists with benefit questions, claim issues, medication access challenges, and helps deliver a seamless and positive pharmacy benefit experience.

The Occu Net Company is an innovative company striving to reduce the cost of healthcare. We are a passionate group of people that care about affordable access to healthcare without sacrificing experience. We strive to make healthcare more intelligent, streamlined, and cost-effective. We offer industry-leading capabilities on negotiations-driven levers to contain rising healthcare costs while taking an experience-centric approach to improving the health and well-being of those we serve.

We pride ourselves on our tight knit culture based on the ‘outward mindset’ philosophy, emphasizing empathy, mutual respect, and seeing each other as “whole people.” We have an ambitious vision and are growing quickly. We are seeking team members who are excited about our growth, seeking to thrive in a fast-paced environment, and enthusiastic about developing their skills and career alongside us.

At Occu Net, you matter like we matter! Our team members share a positive attitude, an outward mindset, problem-solving abilities, and patience, enabling them to provide excellent customer service even during challenging situations. Our culture, plus continuous opportunities for growth, has resulted in an industry-low turnover rate. Don’t miss out on this rare opening with us!

As a Member Advocate, you play a vital role in each member’s healthcare journey. Support is provided to members, pharmacies, and physicians by answering questions about pharmacy benefits, medication coverage, and available programs. You collaborate with cross-functional teams, including Clinical, Account Management, Operations and other internal departments, to research and resolve complex issues, ensuring timely resolution and appropriate follow-up.

Success in this role is driven by combining strong problem-solving skills, attention to detail, empathy, and a genuine passion for helping others. Through every interaction, you help remove barriers to care and improve the member experience.

• Provide clear, empathetic assistance to members regarding pharmacy benefits, formulary coverage, copays, prior authorizations, and medication access.
• Support pharmacies in resolving claim processing questions or issues.
• Work with providers to assist with prior authorizations and drug coverage…