
Maxor National Pharmacy Services, LLC
Remote Jobs
25 Jobs
• Field complex inbound inquiries, emails, and chat messages with professionalism and empathy. • Efficiently and creatively resolve customer complaints, escalating complex issues to the appropriate channels when necessary. • Maintain deep job and service knowledge to confidently and accurately educate and serve members according to VytlOne standards. • Meet or exceed key performance metrics to include, but not limited to: QA Scores Member Satisfaction Survey Scores Average Handle Time (AHT) Schedule Adherence Attendance Standards. • Remain flexible and composed while navigating different member personalities, unpredictable call volumes, and changing procedures. • Maintain meticulous and accurate records of customer interactions within the CRM and AI tools, contributing valuable data for process improvement. • Proactively identify trends in customer feedback and issues, providing insights to management to streamline processes and enhance the member experience. • Partner with AI-powered tools to access real-time information, generate call summaries, and personalize member interactions. • Maintain an open line of communication with all team members, including Member Services Management, and Lead Member Advocate. • Attend and participate in programs and meetings required by VytlOne and/or Member Services Department. • Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. Perform other job-related duties as assigned.
• Process and support daily/weekly client batch file updates working directly with account managers, implementation teams and clients. • Conduct member and file research, file processing, manual updates, data analysis, troubleshoot and resolve integration and data quality issues. • Demonstrate knowledge of VytlOne’s PBM platform, application, file integration functions/standards and client specific configurations. • Handle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently met. • Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. • Maintain regular attendance in accordance with established policies. • Perform other job-related duties as assigned.
• Lead process improvement initiatives across the Client Services division to increase compliance, efficiency, and quality assurance. • Identify, map, analyze, and redesign operational workflows; document current and future state processes with clear standards and controls. • Continuously monitor existing processes for opportunities to reduce friction, standardize practices, and improve team performance. • Maintain a complete and current library of process documentation for Client Services operations. • Gather requirements, build project timelines, assign accountability, and drive completion of internal improvement initiatives. • Lead high-priority, one-time client-facing projects in coordination with the Client Services team. • Oversee complex, cross-functional projects requiring coordination across Client Services, Operations, Finance, Clinical, and Marketing. • Track and report on project status, risks, and outcomes to relevant stakeholders and leadership. • Manage all aspects of third-party vendor relationships including procurement standards, contract compliance, onboarding, and ongoing operational oversight. • Serve as the primary internal point of contact for vendor escalations and performance issues. • Evaluate vendor performance against established standards and make recommendations for changes as needed. • Create and maintain client- and member-facing marketing materials including PowerPoint presentations, flyers, brochures, and email communications. • Ensure all materials reflect current VytlOne branding, product updates, and regulatory requirements. • Develop and distribute internal Client Services communications as needed, including team announcements, product updates, and process change notifications. • Comply with VytlOne’s Ethical Business Conduct policy and Compliance Program. • Promptly report any allegations of impropriety to the Compliance Department. • Remain free from exclusion under OIG and SAM Medicare/Medicaid lists. • Complete all required training within established timeframes.
• Work in conjunction with the Operations Manager to assure compliance with service expectations and achievement of performance goals and objectives • Prepare reports and maintain records/maintain records as requested or required • Develop, implement, and deliver training programs for all levels of pharmacy personnel • Coordinate training schedule with members of management • Develop and maintain continual education support materials to assist the pharmacy staff in learning the specialized pharmacy systems • Confer with management, supervisors and employees to gain knowledge of work situations requiring training and to better understand changes in policies, procedures, regulations, and/or business technologies • Test trainees to measure progress and to evaluate effectiveness of training • Frequently report on progress of employees under guidance during training periods • Participates in the maintenance of corporate compliance and legal board of pharmacy inspection parameters • Monitor methods used by employees for Guardian Rx and/or POS and make on the spot corrections when needed • Assist employees with problems concerning “how to” perform specific tasks related to the pharmacy systems • Assists with staff training and the implementation of processes related to meeting accreditation standards
• Oversee and coordinate key operational functions to ensure organizational efficiency and alignment with strategic goals • Manage and organize operational projects, leads the planning and coordination of daily activities and meetings • Support productive vendor relationships • Maintain current accreditations, develops and organizes training materials • Monitor and manage open internal and external IT items and tickets to drive timely resolution and continuous process improvement • Demonstrate integrity and accountability in compliance obligations • Support the compliance with VytlOne Business Code of Conduct, as well as other company policies and procedures
• Responding to end-user inquiries that may be received by phone calls, email, chats, and ticket requests for support to resolve pharmacy systems, claim adjudications, and issues with VytlOne Bolt-on’s • Accessing product information or the solution database to research, troubleshoot, and deliver solutions • Advising users on the methods, steps, and actions to resolve and avoid future issues and provides documentation as needed • Documents incidents using ticketing system • Escalates problems to appropriate levels or teams to achieve issue resolution • May support upgrades of software or devices, set up user profiles, or re-set passwords • Fulfills all service level standards for response time and quality • Establishing and maintaining relationships with end users on behalf of the company
• Lead the development and execution of operational strategies that align with the health system’s long-term goals. • Design, develop, and manage the QBR process to evaluate business performance. • Establish and monitor key performance indicators (KPIs) and other operational metrics to measure efficiency, productivity, and effectiveness. • Identify areas for operational improvement for health system’s pharmacy operations. • Work closely with department heads and key stakeholders to ensure alignment of operational activities with strategic goals. • Develop and maintain dashboards, scorecards, and other tools to track and report on operational performance. • Lead change management efforts related to operational strategy and performance initiatives. • Oversee resource allocation and budgeting for strategic initiatives. • Identify potential risks associated with operational strategies and performance initiatives. • Develop and deliver in-service training and education to staff members individually and in a group setting. • Comply with Maxor’s Ethical Business Conduct policy and Compliance Program.
Overview Continued growth at VytlOne (formerly Maxor) has created an opportunity for a Patient Care Coordinator to join our growing Specialty Pharmacy. This is an excellent opportunity for a Pharmacy Technician or Customer Service professional with retail pharmacy or high volume experience to make a positive impact in the lives of the patients we care for, working with a devoted pharmacy operations team. This position is remote and candidate can reside within the continental US. Our Company We're VytlOne and we're building a different kind of pharmacy company. We're transforming the pharmacy industry to create healthier lives through purposeful engagement across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. We put people first and are committed to providing outstanding service across all aspects of our business. We believe there's a better way to deliver pharmacy and healthcare services to people across the country, and we'd love for you to help us do it. The estimated compensation for this position is $19 an hour. Responsibilities Responsibilities - Meets performance standards and expectations. - Follows all Company policies and procedures. - Assists with projects as necessary. - Assists other areas as needed. - Assists in compiling necessary reports and/or audit information as requested. - Works cooperatively with other staff members to promote a positive and team oriented work environment. - Assists in maintaining cleanliness and orderliness of the pharmacy. - Participates in the Performance Improvement/Quality Management Process. - Maintains accurate and complete patient records. - Participates in pharmacy orientation programs, training programs, pharmacy staff meetings, in-services, and other programs as required. - Exemplifies excellence in customer communications and service. - Meets performance standards and expectations. - Has a good understanding and working knowledge of all Maxor policies and procedures, accreditation requirements and HIPAA operational guidelines. - May be included in after hours on-call rotation. - Maintains regular attendance per established policies. - Perform other job-related duties as assigned. Patient Care Coordinator Job Duties: - Answer new referral intake and/or refill calls in a timely and professional manner. - Accurately updates information in the computer system. - Contact patient to collect information necessary to establish his/her medical chart. - Schedules delivery for patient refills. - Sets up shipping arrangements as needed. - Participates in the Performance Improvement Process. - Assists in co-pay collections, which require communication with the patient. - Works cooperatively with others in all departments. - Maintains accurate and complete patient records. - Participates in pharmacy orientation programs, training programs, pharmacy staff meetings, in-services, and other programs as required. - Exemplifies excellence in customer communications and service standards. - Has a good understanding and working knowledge of all Maxor policies and procedures, and HIPAA operational guidelines, Medicare requirements and other contract guidelines. - Participates in after hour’s on-call rotation – voluntary, not required. - Maintains good inter/intra departmental relationships. Works to create an amiable atmosphere within the department and company. - Responds to change, performance improvement support, professional growth, and met development goals Qualifications Education: - High school diploma or equivalent. College degree preferred - Active Pharmacy Tech certification preferred, but not required Experience: - Previous pharmacy experience and patient based service - Retail preferred, but not required - Strong customer service experience - Comfortable with Outlook, Excel, Word, and aptitude for learning how to use new software systems Knowledge, Skills, and Abilities: - Excellent communication and customer service skills, both verbal and written - Working knowledge of computer software, specifically Microsoft Office and Outlook - Ability to problem solve and multi-task - Ability to accurately enter data into multiple software systems - Demonstrated organizational skills - Ability to work with a diverse group of people, including patients and physicians WE OFFER At VytlOne, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation. We offer highly competitive compensation and comprehensive health benefits including: - Comprehensive mental health and wellbeing resources - Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums - Company-paid basic life/AD&D, short-term and long-term disability insurance - Rx, dental, vision, other voluntary benefits, and FSA - Employer-matched 401k Plan - Industry-leading PTO plan - And more! The innovative spirit at VytlOne will transform the way you think about pharmacy & healthcare services. As we pave the way in a relentless commitment to positive health outcomes, it’s never been a better time to be part of the VytlOne team! To Apply: please go online at https://careers-maxor.icims.com/ VytlOne is an EOE, including disability/vets.
• Lead complex enterprise-wide Pharmacy Services programs from initiation through implementation and operational transition. • Translate business objectives into executable program plans, milestones, timelines, and measurable outcomes. • Partner with Pharmacy Services leadership to prioritize and execute strategic initiatives. • Facilitate governance structures, steering committees, executive reviews, and decision-making forums, partnering with Finance, IT, and Operations. • Develop and maintain integrated program plans including scope, schedule, budget, resources, dependencies, risks, and deliverables. • Manage multiple projects and workstreams simultaneously while balancing competing priorities. • Establish and monitor key performance indicators and program success metrics. • Maintain RAID logs, project plans, decision logs, status reports, and governance artifacts. • Serve as a trusted advisor to business leaders and cross-functional stakeholders. • Lead project meetings, status reviews, executive presentations, and stakeholder communications. • Prepare executive dashboards, business cases, recommendations, and status reports. • Develop and manage program budgets, forecasts, and resource plans. • Identify, assess, document, and mitigate risks, issues, and barriers to successful execution. • Lead organizational change management efforts supporting new processes, technologies, and business initiatives. • Drive process improvement, workflow optimization, operational efficiency, and scalability initiatives. • Promote PMO standards, methodologies, governance practices, and best practices. • Ensure compliance with healthcare regulations, contractual obligations, privacy standards, and company policies.
• Serve as primary legal counsel for the PBM business unit, advising executive leadership on strategy, regulatory developments, and business risk. • Provide sound, practical judgment in the interpretation and application of relevant laws such as state PBM laws and regulations, federal PBM reform, and HIPAA. • Demonstrate strong business acumen and the ability to structure, draft, and negotiate contracts. • Identify legal and compliance issues and business risks and offer effective, tailored solutions. Identify and escalate to other leaders and the General Counsel as appropriate. • Advise on regulatory issues and assist with inquiries from Departments of Insurance. • Provide backup legal support for other business units, such as the Pharmacy Services unit and rebate aggregation. • Handle a fast-paced and high-volume workload with sound prioritization. • Lead and manage key projects as needed. • Effectively communicate with all levels across VytlOne business entities. • Understand complex legal, compliance, and business situations and discern relevant versus non-relevant facts. • Collaborate cross-functionally and build deep knowledge of the business and key stakeholders. • Proactively develop and maintain legal knowledge in specialized areas, remaining current on regulations, cases, trends, and best practices. • Identify opportunities to improve efficiency while maintaining high service levels. • Provide leadership within the Legal Department by leading initiatives, ensuring consistency across staff, and adhering to department SOPs. • Communicate in a professional and persuasive manner with appropriate support and substantiation for legal advice and recommendations. • Manage and oversee outside counsel as necessary. • Assist in managing litigation matters, including disputes, claims, and regulatory investigations. • Promptly report any allegations of impropriety to the Compliance Department. • Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program. • Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists. • Complete required training, as assigned, within established timeframes. • Hire, train, and develop departmental staff; conduct performance evaluations and provide career coaching. • Promote teamwork and maintain regular attendance in accordance with established policies. • Perform other job-related duties as assigned.
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