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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in customer service within a contact center environment, with a strong focus on resolving complex member issues and providing operational support. Capable of coaching peers and managing escalations while maintaining high service levels and adherence to MCCP processes.
Highest-signal resume keywords
Customer Service ExperienceComplex Issue ResolutionCoaching and TrainingMCCP Process KnowledgeEscalation Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
MCCP ProcessesIssue ResolutionDocumentationQuality AssuranceOperational Support
Soft Skills
CommunicationLeadershipJudgmentRelationship BuildingProblem Solving
Tools & Technologies
VPNNetwork CableJob AidsOperational Workflows
Industry Keywords
Customer CareContact CenterHealthcarePharmacyPBM
About the role
Key responsibilities & impact- Provide real-time floor and operational support to MCCP advocates
- Serve as a primary resource for process questions, complex cases, and issue resolution
- Perform and provide guidance on senior or advanced-level advocate responsibilities
- Own or coordinate escalated member issues and complaints
- Research and assist with complex member inquiries, tickets, account-related issues, and operational work
- Coach associates and reinforce quality, documentation, productivity, customer service, and process expectations
- Monitor queues and distribute workloads to help maintain service levels
- Assist with inbound and outbound calls, tickets, and other operational work as needed
- Provide guidance using approved procedures, job aids, and available resources
- Partner with Operations, IT, Quality, Training, Client Services, and other support teams
- Identify recurring member concerns, operational trends, and process gaps
- Support new-hire development, cross-training, nesting, knowledge reinforcement, and process or workflow changes
- Build effective working relationships and use sound judgment when handling difficult situations
Requirements
What you’ll need- High School Diploma required
- Post High School education or specialized training a plus
- One plus years’ experience in a customer service contact center environment required
- Demonstrated success in an advanced or senior customer care/member services role preferred
- PBM, pharmacy, healthcare, or related industry experience desired
- Demonstrated knowledge of MCCP processes, workflows, systems, and escalation procedures preferred
- Previous experience supporting complex cases, escalations, peer development, training, or floor support preferred
- Consistent quality, productivity, attendance, adherence, and professionalism
- Demonstrated mastery of current-level MCCP responsibilities
- Successful completion of required MCCP training and applicable cross-training
- Demonstrated ability to independently research and resolve complex member issues
- Effective handling of escalations and difficult member situations
- Ability to provide accurate guidance and support to peers
- Strong documentation and follow-up
- Demonstrated coaching, communication, and leadership capability
- Ability to effectively balance member support with operational responsibilities
- Readiness to support changing business needs and priorities
- Internet speed minimum: 100 Mbps download / 10 Mbps upload
- Cell phone capable of VPN push notifications
- Dedicated workspace to reduce background noise
- Hard-wired internet connection using a network cable
Benefits
Comp & perks- Remote work arrangement
- Internet speed requirement and HR verification via speed test
- VPN push notifications supported through cell phone
- Dedicated workspace
- Hard-wired network connection using a modem/router and 10-foot network cable
- Equal opportunity employment
