Advanta Advocate (Healthcare)

Location: On-site in Tempe, Arizona, United States; remote work is not available. Typical hours are Monday through Friday, 7:00 a.m. to 4:00 p.m., with occasional nights, weekends, holidays, and overtime as required.

Salary: $19.80–$25.50–$31.19 per hour.

Company

hirify.global is a privately held pharmacy benefit manager providing healthcare solutions and services to payers, providers, and consumers in the United States and foreign markets.

What you will do

• Coordinate pre-service and post-service cases across operations, account management, sales, health services, finance, clients, brokers, facilities, and members.
• Respond to member inquiries, assess issues, gather information, and provide timely solutions and assistance.
• Research and resolve complex benefit, claims adjudication, eligibility, prior authorization, and third-party administrator issues using company databases.
• Negotiate with healthcare facilities and providers to support quality care, member savings, and cost-effective provider options.
• Explain benefit plans, override guidelines, authorization requirements, grievance and appeal processes, and other health plan functions.
• Follow up with members and clients, manage difficult interactions, and maintain service and performance standards.

Requirements

• GED or high school diploma plus 2+ years of experience, or an equivalent combination of education and experience.
• Intermediate knowledge of Microsoft Word, Excel, and Outlook, with the ability to learn new programs.
• Experience with Windows-based database programs.
• Strong customer service, listening, verbal, written, interpersonal, organizational, and problem-solving skills.
• Ability to work on-site in Tempe and attend face-to-face interactions and coordination with colleagues, clients, and vendors.
• Ability to sit, stand, walk, use hands and arms, and occasionally lift or move up to 25 pounds.

Culture & Benefits

• Collaborative, performance-focused environment centered on improving healthcare value and outcomes.
• Medical, dental, vision, and wellness programs.
• Paid time off and company-paid holidays.
• 401(k) with company match, life and disability insurance, and incentive compensation.
• Tuition reimbursement and employee referral bonus.
• No regular travel is required, though attendance at local conferences and meetings may be necessary.