Help members navigate GLP-1 medication access with clear guidance, sharp attention to detail, and compassionate support. If you thrive in fast-paced queues and know how to work across insurance and pharmacy workflows, this role keeps you in the mix while making a real difference.
About Maven Clinic
Maven is a virtual clinic supporting women and families across fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. Their platform delivers clinical, emotional, and financial support in one place for members nationwide.
Schedule
- Fully remote (U.S.)
- Member Services supports members 7 days/week
- Hiring shifts (ET):
- Mon–Fri 1:00 PM – 9:30 PM
- Tues–Sat 8:30 AM – 5:00 PM (Sat 9:00 AM – 5:30 PM)
- Must have active U.S. work authorization
- Open to candidates in: AZ, DC, DE, FL, GA, HI, IL, KS, MA, MD, ME, MI, MN, NC, NJ, NM, NV, NY, OH, OR, PA, SC, TN, VA, VT, WI
What You’ll Do
- Support members via chat, messaging, and phone with program steps, timelines, and medication fulfillment questions
- Triage inbound pharmacy calls for missing info, coverage questions, inventory/shipping issues, and clarification requests
- Place outbound calls to verify prescription status, coordinate refills, resolve fulfillment issues, and confirm delivery details
- Collect, verify, and interpret insurance information related to medication access
- Check eligibility, coverage criteria, formulary placement, and potential costs using internal tools and payer portals
- Identify barriers (step therapy, documentation needs, quantity limits) and guide members through next steps
- Support prior authorization workflows by gathering required details and explaining process expectations
- Resolve common pharmacy rejects and benefit issues while prioritizing time-sensitive matters
- Escalate safety concerns or clinical red flags to the appropriate team
- Document interactions accurately and contribute to SOPs, scripts, and knowledge articles as workflows evolve
- Meet or exceed metrics for response time, quality, and member satisfaction
- Follow PHI, privacy, eligibility verification, and non-clinical scope protocols
What You Need
- 3+ years of member-facing customer support experience in pharmacy benefits, healthcare, or insurance
- Strong understanding of insurance processes, benefits structures, and medical claims workflows
- Experience with claims processing and reimbursement, including documentation review and payment issue support
- Excellent communication skills with strong empathy for sensitive topics
- Meticulous attention to detail and strong organizational skills
- Comfortable in fast-paced, high-volume queue environments
- Proficiency with Google Workspace and Zendesk
- Bachelor’s degree or equivalent work experience
- Experience with GLP-1 access, prior authorizations, pharmacy rejects, benefit investigations, or pharmacy coordination is a plus
Benefits
- Base salary range: $76,000 – $96,000 + equity
- Flex PTO (3–5 weeks recommended) + 11 paid company holidays
- Medical, dental, and vision plans with employer contributions
- Company-paid STD/LTD, Life and AD&D insurance
- 401(k) retirement plan
- Employee Assistance Program (EAP)
- Maven platform access and wellness partnerships
- Annual professional development stipend and career coaching
- 16 weeks 100% paid parental leave (for eligible employees)
This role is actively hiring with set shift coverage needs. If you can work one of the listed schedules and have insurance or pharmacy-benefits support experience, this is worth moving on quickly.
Happy Hunting,
~Two Chicks…