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Customer Care Representative

Careers Integrated Resources Inc Monroeville, PA (Onsite) Contractor
Job Title: Customer Care Representative
Location: Monroeville, PA 15146 (Onsite)
Duration: 5 - 6 Months+ (with possibility of extension)

Schedule: Monday–Friday | Training: 8:00 AM – 4:30 PM local time | Post-training: Choose between 9:00 AM or 11:00 AM shift starts

Position Type: Contract (with potential for Full-Time Conversion)
Onboarding Timeline: Immediate openings available
Local Candidates Only: Must reside within 75 miles of Pittsburgh, PA
 
Position Summary:
Join a Fortune 5 company’s Pharmacy Benefit Management (PBM) division in a dynamic Customer Care Representative role. You'll assist health plan members by phone, helping them navigate their pharmacy benefits, including prescription coverage, mail order medications, and insurance-related questions. You’ll play a vital role in simplifying healthcare for patients through empathy, clarity, and technical support.
This role begins onsite for training (6+ weeks) with Work-from-Home (WFH) eligibility after successful completion and performance review.
 
Key Responsibilities:
  • Answer inbound calls from members regarding prescription insurance, medication coverage, and benefit eligibility.
  • Educate and assist members with mail-order services, coverage options, and pharmacy-related inquiries.
  • Navigate multiple computer systems and dual screens efficiently during calls.
  • Demonstrate empathy, patience, and professionalism in each interaction.
  • Support members in a way that improves their healthcare experience and quality of life.
  • Maintain HIPAA compliance and data privacy standards.
 
Must-Have Skills & Experience:
  • 1+ year of customer-facing experience (call center, retail, healthcare, hospitality, military, etc.)
  • Strong computer skills: navigating between multiple systems, screens, and programs simultaneously.
  • Ability to match pace of the caller, remain calm, and show empathy under pressure.
  • High school diploma or equivalent required.
 
Preferred Qualifications:
  • Associate degree or equivalent work experience.
  • 6+ months of experience in a healthcare, pharmacy, or benefits-related environment.
  • Prior experience working with health plan members or patient services.
  • Strong problem-solving, verbal communication, and active listening skills.
  • Ability to maintain a professional demeanor in a fast-paced, high-volume setting.
 
Work-From-Home Readiness (Post-Training):
To be eligible for WFH after training, candidates must:
  • Maintain a reliable internet connection (wired preferred).
  • Have a private, distraction-free workspace.
  • Successfully complete training and meet performance standards.
  • Comply with HIPAA/privacy regulations.
 
Additional Notes:
  • City/State must be listed at the top of resume.
  • Shift preference (9:00 AM or 11:00 AM start) must also be listed on resume.
  • Strong potential for contract-to-hire conversion for top performers.
  • Flexible schedules available post-training (including split shifts if needed).
 
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Job Snapshot

Employee Type

Contractor

Location

Monroeville, PA (Onsite)

Job Type

Other

Experience

Not Specified

Date Posted

10/08/2025

Job ID

25-62356

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