MAC Program Support Representative II
$34,000–$62,370 year
RemoteCalifornia, United States or Orange, California, United States
California, United States or Orange, California, United StatesRemoteFull Time$34,000–$62,370 yearSenior LevelHigh School Or EquivalentLarge
Full TimeSenior LevelHigh School Or EquivalentLarge
Job Summary
Manage Maximum Allowable Cost cases across GNP/Elevate/Accelerate programs, handling daily intake, data entry, and PBM submissions. Monitor case aging, prioritize review queues, and submit appeals while challenging unfavorable responses with program data. Serve as the escalation point for complex disputes, produce customer-facing reports, and track key performance metrics. Maintain SOPs and partner with cross-functional teams to resolve issues impacting customer economics. Work Monday-Friday 8am-5pm PST in a hybrid role in Orange, CA, earning $24-$26/hr.
Required Qualifications
- High School Diploma/GED or equivalent experience
- 3+ years of experience in customer systems support, customer operations, service operations, order management, case management, or a related field
- Introductory computer skills
- Knowledge of Microsoft Word, Excel and Access
- Introductory knowledge and experience in using features of Microsoft Outlook including: E-mail File Retention and Retrieval, Contact Management, and Calendar and Task Tracking Tools
Desired Qualifications
- Certification in IT service management, customer support, customer relationship management systems, process improvement, or equivalent certification
- Preferred working knowledge or experience of pharmacy benefit management companies and retail pharmacy operations
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