Job Description

Maven Clinic is seeking a Member Services Specialist to support members in a new care program involving GLP-1 medication access, pharmacy coordination, and chronic condition support. This role involves high-volume support, insurance navigation, and compassionate member interaction to ensure timely medication access and a positive treatment experience.

Responsibilities

• Assist members with program steps and medication fulfillment questions
• Triage pharmacy calls and resolve fulfillment issues
• Collect, verify, and interpret insurance information
• Navigate the medication access process
• Offer empathetic support on chronic conditions
• Document interactions and contribute to SOPs
• Follow PHI and privacy protocols

Requirements

• 3+ years of member-facing experience in healthcare or insurance
• Strong understanding of insurance processes
• Experience with claims processing and reimbursement
• Meticulous attention to detail
• Strong customer service and communication skills
• Proficiency in Google Workspace and Zendesk
• Ability to work independently and as part of a team
• Bachelor’s degree or equivalent work experience

Benefits

• No benefits