We lead with integrity, offering mission-driven hospitals, health systems, health centers, and ... REMOTE WORK REQUIREMENTS * A reliable, high-speed internet connection (preferably wired), a ...
We lead with integrity, offering mission-driven hospitals, health systems, health centers, and ... REMOTE WORK REQUIREMENTS * A reliable, high-speed internet connection (preferably wired), a ...
Billing Advocate (Hybrid)
The Woodlands, TX · On-site +1
$18 - $22.50/hr
This remote, full-time opportunity offers a consistent schedule of Monday-Friday 8AM-4:30PM . If ... Closely communicate and coordinate with the client hospitals with respect to their accounts
Billing Advocate (Hybrid)
The Woodlands, TX · On-site +1
$18 - $22.50/hr
This remote, full-time opportunity offers a consistent schedule of Monday-Friday 8AM-4:30PM . If ... Closely communicate and coordinate with the client hospitals with respect to their accounts
$90K - $100K/yr
... safer hospitals, safer businesses, and ultimately, safer nations. Connect with a career that ... The actual offer will be based on the individual candidate. #LI-JM3 #LI_REMOTE Basic Requirements ...
$90K - $100K/yr
... safer hospitals, safer businesses, and ultimately, safer nations. Connect with a career that ... The actual offer will be based on the individual candidate. #LI-JM3 #LI_REMOTE Basic Requirements ...
Working knowledge of hospitals' EMR * Computer proficient * Excellent verbal and written communication skills * Team Player We Offer: * Quality of life with a remote predictable, full-time schedule
Working knowledge of hospitals' EMR * Computer proficient * Excellent verbal and written communication skills * Team Player We Offer: * Quality of life with a remote predictable, full-time schedule
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$49.50 - $60.25/hr
... thinking skills to advocate for patients and ensure fair, evidence-based decisions. Key ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$49.50 - $60.25/hr
... thinking skills to advocate for patients and ensure fair, evidence-based decisions. Key ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$52.50 - $64/hr
... thinking skills to advocate for patients and ensure fair, evidence-based decisions. Key ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Katy, TX · On-site +1
$52.50 - $64/hr
... thinking skills to advocate for patients and ensure fair, evidence-based decisions. Key ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Remote Clinical Documentation Specialist
Irving, TX · Remote
$33.25 - $45/hr
They are a member of the patient's care team and act as a patient advocate, providing proactive ... providers' clinic, hospital facilities, family, caregivers, and other community healthcare ...
New
Quick apply
Remote Clinical Documentation Specialist
Irving, TX · Remote
$33.25 - $45/hr
They are a member of the patient's care team and act as a patient advocate, providing proactive ... providers' clinic, hospital facilities, family, caregivers, and other community healthcare ...
New
Senior Claim Specialist - Hospital / Physician Claims
Houston, TX · On-site +1
$165K/yr
This role is eligible for fully remote work The Senior Claims Specialist within GB Specialty is ... May act as a client advocate with carriers to ensure proper claims handling, including any ...
Senior Claim Specialist - Hospital / Physician Claims
Houston, TX · On-site +1
$165K/yr
This role is eligible for fully remote work The Senior Claims Specialist within GB Specialty is ... May act as a client advocate with carriers to ensure proper claims handling, including any ...
Executive Director, Client Management Hospitals and Health Systems- Luminare Health
Richardson, TX · On-site +1
Develop and execute the Luminare Health Hospital strategy and product roadmap in partnership with ... Remote employees must live within the continental United States, excluding Alaska, New York ...
Executive Director, Client Management Hospitals and Health Systems- Luminare Health
Richardson, TX · On-site +1
Develop and execute the Luminare Health Hospital strategy and product roadmap in partnership with ... Remote employees must live within the continental United States, excluding Alaska, New York ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
US Remote with preference for candidates located in the Western half of the US and the Midwest ... Advocate and lobby state Medicaid agencies and legislatures for improved procedure payment. * Work ...
Social Worker
Bellaire, TX · Remote
As a remote worker/road warrior, this consent allows us to disclose an employee's home address for ... hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care ...
Social Worker
Bellaire, TX · Remote
As a remote worker/road warrior, this consent allows us to disclose an employee's home address for ... hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care ...
LPN - Advanced Care Planning Specialist, Remote
San Antonio, TX · Remote
$28.85/hr
... impact patient advocacy. As an LPN - Advanced Care Planning Specialist (internally called ... Inpatient hospital experience including ICU or emergency medicine * Spanish speaking experience ...
LPN - Advanced Care Planning Specialist, Remote
San Antonio, TX · Remote
$28.85/hr
... impact patient advocacy. As an LPN - Advanced Care Planning Specialist (internally called ... Inpatient hospital experience including ICU or emergency medicine * Spanish speaking experience ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · On-site +1
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · On-site +1
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination of ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Prior Authorization/Concurrent Review Nurse RN (Remote in Texas only, TX RN license required)
Austin, TX · Remote
Performs telephonic reviews of inpatient hospital admissions and assist with the coordination ... Act as a member/family advocate in coordinating and accessing medical necessity of health care ...
Remote Advocate Christ Hospital information
What is the difference between Remote Advocate Christ Hospital vs Remote Patient Advocate?
| Aspect | Remote Advocate Christ Hospital | Remote Patient Advocate |
|---|---|---|
| Credentials | High school diploma or equivalent, healthcare experience often preferred | High school diploma or equivalent, healthcare or customer service experience beneficial |
| Work Environment | Hospital or healthcare facility, remote options available | Remote, home-based setting |
| Industry Usage | Used within hospital systems for patient support and advocacy | Used across healthcare providers for patient communication and assistance |
Remote Advocate Christ Hospital and Remote Patient Advocate roles share similar credentials and industry usage, focusing on patient support. The main difference lies in the work environment, with Remote Advocate Christ Hospital often based within hospital systems, while Remote Patient Advocates typically work remotely from home. Both roles aim to improve patient experience and require strong communication skills.
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 days ago
Maxor National Pharmacy Services rating
8.8
Based on 12 frontline employees who took The Breakroom Quiz
3rd of 97 rated pharmacies
Job description
VytlOne (formerly MaxorPlus) is currently seeking highly motivated and empathetic Member Advocates to join our dynamic, growing operations team. As the voice of our brand, this role handles complex customer inquiries that require a human touch, leveraging system and tools to provide efficient and personalized solutions. The ideal candidate thrives in a fast-paced environment, has strong critical thinking skills, and is passionate about turning challenging interactions into positive brand-building opportunities.
The Member Advocate is responsible for establishing and maintaining relationships with members on behalf of the company by taking personal and complete responsibility for each member-related contact and by ensuring that all member and client requirements are completely met. As a Member Advocate, you are the primary internal representative of our organization; you must convey to the caller (member, pharmacy, provider, client or other) a sense of expertise in our services.
Position Location
This is a remote-based position within the Continental US.
Who We Are
VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve.
Why Choose a Career at VytlOne?
At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive.
VytlOne Voted Top Places to 5 years in a row.... 2021, 2022, 2023, 2024 and 2025!
Responsibilities- Customer engagement: Field complex inbound inquiries, emails, and chat messages with professionalism and empathy.
- Problem resolution: Efficiently and creatively resolve customer complaints, escalating complex issues to the appropriate channels when necessary.
- Job Knowledge: Maintain deep job and service knowledge to confidently and accurately educate and serve members according to VytlOne standards.
- Performance management: Meet or exceed key performance metrics to include, but not limited to:
- QA Scores
- Member Satisfaction Survey Scores
- Average Handle Time (AHT)
- Schedule Adherence
- Attendance Standards
- Adaptability: Remain flexible and composed while navigating different member personalities, unpredictable call volumes, and changing procedures.
- Data management: Maintain meticulous and accurate records of customer interactions within the CRM and AI tools, contributing valuable data for process improvement.
- Process improvement: Proactively identify trends in customer feedback and issues, providing insights to management to streamline processes and enhance the member experience.
- AI collaboration: Partner with AI-powered tools (e.g., AI copilots, knowledge bases) to access real-time information, generate call summaries, and personalize member interactions.
- Communication: Maintain an open line of communication with all team members, including Member Services Management, and Lead Member Advocate.
- Ongoing Training: Attend and participate in programs and meetings required by VytlOne and/or Member Services Department.
- Compliance:
- Promptly report any allegations of impropriety to the Compliance Department.
- Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program.
- Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
- Perform other job-related duties as assigned.
Education:
- High school diploma, GED, or equivalent
Experience:
- Required: 2+ years Pharmacy or Health Care customer service experience.
- Preferred: Experience with PBM Contact Center, Chat Support, AI and CRM technologies.
Knowledge, Skills, and Abilities:
- Empathy and emotional intelligence: Strong interpersonal skills to build rapport, actively listen, and tailor service to member emotions and intent.
- Communication skills: Excellent verbal and written communication skills, with a professional, collaborative, and friendly demeanor.
- Problem-solving aptitude: A proactive and efficient problem-solver who can think through complex situations and offer creative, effective solutions.
- Coachable mindset: Must be open to receiving feedback on performance which will be provided by the quality team, team leads, supervisors, manager and VP.
- Technical competency: Proficiency with computers and the ability to navigate multiple systems simultaneously, including CRM, AI tools, and Contact Center software.
- Resilience: The ability to manage stress and stay composed, especially in challenging situations.
- Reliability: Punctuality and dependable attendance are essential to meet operational needs.
- Adaptability: Ability to learn new skills, tasks, and technology.
- Team Oriented: Strong ability to integrate into a team environment, collaborate with diverse work styles, and positively contribute to organizational culture.
- AI proficiency: A tech-forward mindset and the ability to leverage AI-powered platforms and digital tools to enhance efficiency.
WORK SCHEDULE:
- Scheduling flexibility is a requirement; may be required to work rotating shifts, including Holidays, weekends, and nights. Some overtime may be required.
REMOTE WORK REQUIREMENTS
- A reliable, high-speed internet connection (preferably wired), a dedicated, distraction free workspace, and proficiency with remote communication tools are essential.
- Tech setup: You will be provided with all the tools needed to perform your role, including dual monitors, laptop, and headset.
This position offers an hourly rate ranging from $17-$23/hour, based on experience and qualifications.
WE OFFER
At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You'll work with a mission-driven organization focused on improving healthcare outcomes.
Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:
- Comprehensive mental health and wellbeing resources
- Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
- Company-paid basic life/AD&D, short-term and long-term disability insurance
- Rx, dental, vision, other voluntary benefits, and FSA
- Employer-matched 401k Plan
- Industry-leading PTO plan
- And more!
Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities.
FOR MORE INFORMATION:
VytlOne Website VytlOne LinkedIn
VytlOne (formerly Maxor) is an EOE, including disability/vets
Employment Type: OTHERWhat Maxor National Pharmacy Services employees say
Pay
Hours and flexibility
Workplace
Get the full story on Breakroom
About Maxor National Pharmacy Services
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Amarillo, TX, US
Year founded
1926