Pharmacy Technician - Member Services

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B
, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.

Our north star guides everything we do:
healthcare only works when people can actually use it
. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.

If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.

Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. Curative is looking for a Pharmacy Technician with Member Services experience who is passionate about helping the company as we work to reinvent healthcare options.

Candidates will be able to utilize their previous experience in Pharmacy Operations/Member Services experience by increasing satisfaction and retention by providing Curative health plan Members, patients, and providers with accurate, consistent, timely and meaningful information. They will provide support to Members’ while building rapport and collaborative relationships with current and prospective Members in accordance with compliance guidelines. This is a remote position with multiple shift options in a 24/7 call center.

• Monitoring for prescription claims rejections from 3rd party pharmacies
• Outreach to members and providers with information regarding rejection and offering alternative options as applicable
• Working with the Curative pharmacy prior authorization team discussing PA decisions with members and providers as needed
• Evaluating extenuating requests and processing overrides as appropriate in the CAPRx JUDI system
• Working with the Pharmacy team on non formulary drug alternatives for member and provider notification
• Contact 3rd party pharmacies to reprocess claims, notify of drug alternatives, prior authorization status.
• Correct claims and prior authorization request as needed
• SME on pharmacy and drug benefits handling escalated contacts from members, providers, pharmacies, and member service team
• Escalation support for after hours issues resolution as needed
• Processing notifications to members services team for member outreach and status updates on prescription status
• Working with leadership team on policy and process improvements
• This position assumes and performs other duties, project management and data reporting as assigned
• Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc).

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

• Excellent attendance is critical to success in this position
• Internal candidates must have been in their current role for at least 6 months and have no performance or attendance actions in effect.
• Excellent computer and phone skills, attention to detail, process and policy adherence
• Call Center Experience preferred but not required
• Excellent…