Experienced Healthcare Customer Care Representative – Hybrid & Remote – Pharmacy Benefit Support Specialist at brighthush

About brighthush and the Healthcare Industry

brighthush is a leading innovator in the healthcare sector, dedicated to simplifying the complex world of prescription benefits for millions of members across the United States. With a mission to empower patients through clear communication, compassionate service, and cutting‑edge technology, brighthush has earned a reputation as a trusted partner for health plans, pharmacies, and employers alike.

In today’s rapidly evolving healthcare landscape, the demand for knowledgeable, empathetic customer support professionals has never been higher. As prescription coverage options expand and digital tools become more sophisticated, members need a reliable point of contact who can guide them through the maze of benefits, answer questions about mail‑order services, and ensure a seamless experience from start to finish.

At brighthush, we believe that every interaction is an opportunity to make a difference. Whether you’re helping a senior citizen navigate a new medication plan or assisting a busy professional with a mail‑order prescription, your role will directly impact the health and well‑being of our members.

Why Join brighthush?

• Hybrid Work Model: Start with a one‑day onsite orientation in Honolulu, then enjoy the flexibility of 100% remote work from a home office you set up.
• Comprehensive Training: Six weeks of immersive, virtual training that covers everything from HIPAA compliance to advanced benefit logic.
• Competitive Pay: Earn $20.00 per hour, with the potential for overtime and performance bonuses.
• Career Growth: Opportunities to advance into senior support roles, team leadership, or specialized pharmacy benefit positions.
• Inclusive Culture: A supportive, diverse environment that values empathy, continuous learning, and work‑life balance.
• Benefits: Health, dental, and vision coverage for full‑time employees, along with generous paid time off, professional development stipends, and a wellness stipend.

Key Responsibilities

As a Healthcare Customer Care Representative at brighthush, you will serve as the frontline liaison between members and their pharmacy benefit plans. Your day‑to‑day tasks will include:

• Inbound Member Support: Handle a high volume of phone calls from members seeking assistance with prescription insurance coverage, medication benefits, and mail‑order prescription services.
• Customer‑Centric Problem Solving: Guide callers through complex benefit structures with patience, clarity, and genuine concern for their health outcomes.
• Multi‑Tasking & Computer Navigation: Seamlessly toggle between multiple Windows‑based applications, read plan details, interpret benefit logic, and enter data in real time while maintaining a conversational flow.
• Communication & Empathy: Match the caller’s pace and tone, maintain a calm demeanor, and demonstrate high empathy while strictly adhering to HIPAA and federal compliance regulations.
• Data Accuracy & Documentation: Log all interactions accurately in the CRM, ensuring that member records are up‑to‑date and compliant with privacy standards.
• Continuous Improvement: Participate in regular feedback sessions, share insights on common member pain points, and contribute to process enhancements.

Essential Qualifications

• Location Requirement: Must reside within 75 miles of the Honolulu site to attend the initial onsite orientation.
• Experience: Minimum of 1 year in a call center, retail, hospitality, customer service, or military environment.
• Technical Proficiency: Strong computer skills navigating Windows environments, multi‑screen setups, and dual software applications.
• Remote Setup: Secure, quiet, distraction‑free home office; reliable hardwired high‑speed internet (≥25 Mbps download / 3 Mbps upload); ability to appear on camera via Microsoft Teams for all training modules and ongoing meetings.
• Communication Skills: Excellent verbal communication, active listening, and the ability to explain complex information in simple terms.
• Reliability: Proven track record of punctuality and strict adherence to shift schedules.

Preferred Qualifications

• Associate degree or equivalent experience.
• At least 6 months of experience in healthcare, health insurance, or pharmacy support.
• Demonstrated patience, empathy, and clear verbal communication in high‑pressure environments.
• Experience with HIPAA compliance and data privacy best practices.

Skills & Competencies for Success

• Customer‑First Mindset: A genuine desire to help members achieve better health outcomes.
• Problem‑Solving: Ability to analyze benefit logic and provide accurate, actionable solutions.
• Adaptability: Comfortable working in a fast‑paced environment with evolving policies and technology.
• Team Collaboration: Willingness to collaborate with cross‑functional teams, including pharmacy partners, IT, and compliance.
• Attention to Detail: Precision in data entry and documentation to maintain regulatory compliance.

Career Growth & Learning Opportunities

At brighthush, we invest in your professional development. As you gain experience, you can explore:

• Senior Customer Support Specialist roles with increased responsibility and higher compensation.
• Team Lead or Supervisor positions overseeing a group of representatives.
• Specialized roles in pharmacy benefit management, claims processing, or member education.
• Access to online learning platforms, industry certifications, and mentorship programs.

Work Environment & Company Culture

brighthush fosters a culture of respect, transparency, and continuous improvement. Our remote teams enjoy:

• Regular virtual town halls and team‑building activities.
• Open communication channels with leadership.
• A focus on mental health and well‑being, with resources such as counseling services and wellness stipends.
• Recognition programs that celebrate individual and team achievements.

Compensation, Perks, and Benefits

While the base pay for this contract position is $20.00 per hour, we offer a comprehensive benefits package for full‑time employees, including:

• Health, dental, and vision insurance.
• Paid time off (vacation, sick leave, and holidays).
• Retirement savings plan with company match.
• Professional development stipend and tuition reimbursement.
• Wellness stipend and access to fitness resources.
• Employee assistance program (EAP) for personal and family support.

How to Apply

If you are passionate about helping people navigate their healthcare journey and thrive in a dynamic, customer‑centric environment, we encourage you to apply. Submit your resume and a brief cover letter outlining your relevant experience and why you’re excited about joining brighthush.

We look forward to welcoming you to our team and working together to make healthcare simpler, more transparent, and more compassionate for every member.