Customer Care Representative I - Healthcare & Pharmacy Support Specialist

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About arenaflex

At arenaflex, we are transforming the landscape of healthcare by dedicatedly improving lives and communities while making healthcare simpler for everyone. As part of the arenaflex family of companies, we leverage cutting-edge technologies and a clinical-first approach to deliver member-centered, lasting pharmacy care. We believe that great healthcare should be accessible, understandable, and personalized—and our team members are at the heart of this mission.

Our culture is built on a foundation of integrity, innovation, and compassion. We are a Fortune 25 company with a longstanding history in the healthcare industry, and we are always looking for passionate leaders at all levels of the organization who want to make a meaningful impact on our members and the communities we serve. When you join arenaflex, you become part of something bigger than yourself—a team that truly cares about the wellbeing of every individual we serve.

Position Overview

Are you passionate about helping others and making a difference in people's lives? Do you thrive in a fast-paced, dynamic environment where your communication skills can shine? If so, we have an exciting opportunity for you to join our team as a Customer Care Representative I. In this role, you will serve as a trusted advisor and educator to our members, answering questions about medication coverage, prior authorizations, and a wide range of pharmacy-related inquiries.

This is a hybrid position that offers the perfect blend of in-office collaboration and remote flexibility. You will be required to complete onsite training for the first 10 weeks to ensure you have the knowledge and tools necessary to succeed in your role. After training, you will have the opportunity to work from home while maintaining a strong connection with your team.

What You Will Do

As a Customer Care Representative I at arenaflex, you will play a critical role in ensuring our members receive the support and information they need. Your daily responsibilities will include:

• Responding to inquiries: Handle incoming calls and written correspondence from both internal and external customers regarding insurance benefits, provider contracts, eligibility, and claims. You will be the first point of contact for many members, and your ability to provide accurate, helpful information will be essential.


• Problem resolution: Analyze customer problems and provide effective solutions and information. You will need to think critically and creatively to address unique situations while maintaining compliance with company policies and regulations.


• Documentation: Operate PC and image stations to obtain and extract information accurately. Thoroughly document all inquiry outcomes in our database to ensure accurate tracking and analysis, which helps us continuously improve our services.


• Relationship building: Develop and maintain positive customer relations by coordinating with various functions within the organization. You will work closely with cross-functional teams to ensure customer requests are handled appropriately and in a timely manner.


• Data analysis: Research and analyze data to address operational challenges and customer service issues. Your insights will help identify trends and improve our overall member experience.


• Information provision: Provide external and internal customers with requested information in a clear, concise, and professional manner. You will serve as a knowledgeable resource for pharmacy-related questions.


• Follow-up support: Under immediate supervision, receive and place follow-up telephone calls and faxes to answer routine customer questions. You will ensure no member is left without the answers they need.


• System utilization: Use computerized systems for tracking, information gathering, and troubleshooting. Proficiency with technology will be key to your success in this role.


• Outbound support: Conduct outbound calls as needed within the pharmacy support business area to ensure comprehensive member care.

Essential Qualifications

To be considered for this position, you must meet the following requirements:

• High school diploma or equivalent required.


• Previous experience in an automated customer service environment, or any combination of education and experience that would provide an equivalent background.


• Must be available to work an 8.5-hour shift within the following time windows based on your assigned time zone:
  
  
  
  • 4:50am - 8:00pm Pacific Time
  
  
  • 6:50am - 10:00pm Central Time
  
  
  • 7:50am - 11:00pm Eastern Time
  
  
  
  


• Must be willing to work onsite for training for the first 10 weeks.

Preferred Skills, Capabilities & Experiences

While not required, the following skills and experiences would be highly valued in a successful candidate:

• Healthcare experience: Familiarity with healthcare industry terminology, processes, and regulations will help you excel in this role.


• Pharmacy experience: Knowledge of pharmacy operations, medication coverage, and prior authorization processes is highly desirable.


• Call center experience: Previous experience in a high-volume call center environment demonstrates your ability to handle fast-paced customer interactions.


• Communication skills: Strong oral, written, and interpersonal communication skills are essential for this role. You must be able to convey complex information clearly and compassionately.


• Problem-solving skills: The ability to analyze problems and develop effective solutions is critical.


• Analytical skills: Comfort with data analysis and the ability to identify trends and patterns.

Work Schedule & Location

We are hiring for multiple office locations across the country: Norfolk, VA; Las Vegas, NV; St. Louis, MO; Mason, OH; Winston-Salem, NC; and Atlanta, GA. This is a hybrid position, meaning you will split your time between working remotely and collaborating in our offices.

Our standard business hours are Monday through Friday, with Saturday and Sunday off. However, we understand that life happens, and we offer flexible scheduling options. If you prefer a schedule that includes a weekend day, we have options available to accommodate your needs.

Compensation & Benefits

At arenaflex, we believe in rewarding our team members for their hard work and dedication. The salary range for this position is $18.50 to $20.50 per hour, depending on your location, experience, and qualifications.

In addition to competitive pay, arenaflex offers a comprehensive benefits package that includes:

• Medical, dental, and vision coverage


• Short-term and long-term disability benefits


• 401(k) retirement plan with company match


• Equity stock purchase programs


• Paid time off and holidays


• Incentive and recognition programs


• Wellness programs and financial education resources


• Professional development and continuing education opportunities

Our benefits are designed to support your physical, financial, and emotional wellbeing. We are committed to helping you thrive both professionally and personally.

Career Growth Opportunities

At arenaflex, we are invested in the growth and development of our employees. This position is an excellent starting point for a rewarding career in the healthcare industry. As you gain experience and demonstrate your capabilities, you will have opportunities to:

• Advance to higher-level positions within the customer care organization


• Specialize in specific areas such as pharmacy benefits, claims resolution, or member advocacy


• Develop leadership skills and potentially lead teams of customer service professionals


• Participate in cross-functional projects that shape the future of our member experience


• Access ongoing training and professional development resources to expand your expertise

We believe that every team member has the potential to grow and contribute to our mission in meaningful ways. Your career path at arenaflex is what you make of it.

Our Culture & Values

At arenaflex, we are creating a culture that is designed to advance our strategy while fostering personal and professional growth for all associates. Our values and behaviors are the root of our culture—they are how we achieve our strategy, power our business outcomes, and drive shared success for our consumers, our associates, our communities, and our business.

We are committed to creating an inclusive environment where diverse perspectives are valued and everyone feels they belong. We believe that our differences make us stronger, and we are dedicated to ensuring equal pay for equal work regardless of gender, race, or any other protected category.

Our hybrid workforce strategy allows our associates to enjoy the best of both worlds—the collaboration and connection of in-person work with the flexibility of remote work. We believe this approach fosters innovation, productivity, and wellbeing.

Health & Safety Commitment

The health and wellbeing of our associates and communities is a top priority at arenaflex. As a condition of employment, all candidates in certain patient/member-facing roles may be required to become vaccinated against COVID-19 and Influenza, unless an accommodation or exemption applies. We follow all relevant federal, state, and local laws regarding health and safety requirements.

Join Our Team

If you are ready to make a difference in the lives of others while building a rewarding career, we encourage you to apply for the Customer Care Representative I position at arenaflex. This is your opportunity to join a Fortune 25 company that is passionate about transforming healthcare and making a positive impact on communities across the nation.

At arenaflex, you will find more than just a job—you will find a place where you can grow, thrive, and contribute to something truly meaningful. We are looking for team members who are passionate about customer service, committed to excellence, and ready to embrace the challenges and rewards of working in healthcare.

Apply today and take the first step toward a fulfilling career with arenaflex. We can't wait to welcome you to our team!

arenaflex is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, or any other protected characteristic. We are committed to providing reasonable accommodations to qualified individuals with disabilities. If you require accommodation to participate in the job application process, please contact our HR team.