Healthcare Benefits Navigator - West Coast

Atlanta, Georgia, United States of America | Anaheim, California, United States of America | San Diego, California, United States of America

Extraordinary Care. Extraordinary Careers.

With one of the nation’s largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.

Our unique business model combines the personal touch of locally operated pharmacies with the robust support of our Atlanta-based corporate team, ensuring best-in-class pharmacy care for our customers.

Why Guardian Pharmacy? We’re reimagining medication management and transforming care.

Who We Are and What We’re About:

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.

The Role:

The Healthcare Benefits Navigator is instrumental in supporting customers with Medicare drug plan selection, plan optimization and plan enrollment.  Responsible for providing Medicare drug plan comparisons and educating our customers on available plan options in the market.   Through conducting plan comparisons, the Healthcare Benefits Navigator ensures customers understand out of pocket expenses under available plans.  This role works with other Healthcare Patient Navigators to maximize customer savings and provide a seamless enrollment process.

Day-to-Day Responsibilities:

• Utilize reporting to identify newly admitted potential customers and/or current customers that may qualify for a Special Enrollment Period. 
• Using pharmacy’s point of sale system in conjunction with an online vendor, explain customer’s current insurance coverage and provide personalized plan comparison ensuring customer understands available plan options and can make informed plan selection.
• Receive inbound and place outbound calls to facilities and customers to provide plan comparison and plan optimization. Assist customers in plan enrollment.
• Using scheduling software, schedule appointments with customers for plan optimization during Medicare Open Enrollment facilitating seamless and efficient enrollment process. 
• Facilitate warm transfer to customers requesting a licensed insurance agent.
• Accurately track customer assistance and record enrollment progress
• Provide customer service to internal and external customers as needed.
• Through customer engagement and satisfaction, assist in the achievement of National Account partnered objectives.
• Other essential functions and duties may be assigned by supervisor as needed

Education:

• High School diploma required, college degree in business preferred
• Pharmacy Technician registration preferred

Knowledge, Skills, and Abilities:

• Pharmacy experience preferred
• Strong knowledge of 3rd party insurance requirements
• Collections and claim adjudication experience preferred
• FrameworkLTC or QS1 experience preferred
• Excellent computer skills, including MS Office (Excel, Word, Teams)
• Excellent verbal and written communication skills; professional demeanor
• Strong attention to detail and analysis skills
• Ability to maintain confidentiality at all levels
• Ability to work to deadlines and balance multiple priorities
• Strong work ethic and desire to excel

What We Offer:

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.”

Compensation & Financial

• Competitive pay
• 401(k) with company match

Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)

• Medical, Dental and Vision