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Job Openings

Member Advocate, Pharmacy Technician

Make a Difference in People’s Health Every Day!
Are you passionate about helping others and looking for a full-time role without the demands of retail pharmacy hours? Join Health Plan Advocate, where your work directly improves access to affordable medications and enhances the well-being of thousands of members.

 

At Health Plan Advocate, we serve as trusted partners for employers and their employees, ensuring they get the most out of their health benefits. Our Pharmacy Savings Program connects members to cost-saving solutions that reduce prescription expenses for both the individual and their health plan.

 

As a Member Advocate, you’ll provide support and guidance, helping members navigate savings programs, enroll successfully, and confirm benefits are applied correctly. You’ll enjoy a collaborative, relaxed office environment with no weekends or holiday shifts.

 

Primary Responsibilities

  • Educate members on program requirements and assist with enrollment.

  • Communicate regularly via phone with members and pharmacies to ensure smooth benefit application.

  • Review medication refills and research assistance programs online.

  • Draft clear, professional correspondence and maintain accurate member records.

  • Use your pharmacy expertise and computer skills to solve problems and deliver exceptional service.

 

Required Qualifications

  • Experience: Minimum 1 year in a retail pharmacy setting.

  • Knowledge: Familiarity with medical and pharmaceutical terminology.

  • Skills:

    • Strong interpersonal and communication abilities (verbal and written).

    • Critical thinking and problem-solving mindset.

    • Attention to detail and organizational excellence.

    • Proficiency in MS Office, email, and internet research.

  • Compliance: Must adhere to HIPAA policies and be a non-tobacco user.

 

Preferred Qualifications

  • Pharmacy Technician Certification (CPhT, NHA, or PTCB).

  • Understanding of health insurance plans and copay structures.

  • Experience with pharmacy billing procedures.

  • Spanish speaking

Health Benefits Navigator, Executive Services

Overview

 At Health Plan Advocate, we help employees and executives get the most from their health benefits while reducing the stress and complexity of navigating the healthcare system. We serve as trusted advocates between our clients, their employees, healthcare providers, and insurance carriers.

We are seeking an Executive Health Benefits Navigator to join our Corporate Wellness team. In this highly visible role, you will provide personalized support to senior executives of a key client organization, helping them navigate healthcare decisions, resolve insurance issues, coordinate care, and achieve their health and wellness goals.

This position is ideal for someone who combines expertise in health insurance, medical billing, and healthcare navigation with exceptional customer service, problem-solving skills, and discretion.

 

Key Responsibilities

  • Serve as a trusted advisor and advocate for executives and their families regarding healthcare and insurance-related needs.

  • Research and resolve health insurance coverage, eligibility, claims, and billing issues.

  • Monitor claims activity and communicate status updates.

  • Investigate billing discrepancies and facilitate issue resolution with providers and insurers.

  • Review Explanation of Benefits (EOB’s) for accuracy and distribution.

  • Support payment processes, claim reimbursements, and benefit interpretation.

  • Schedule and coordinate executive physicals, specialist appointments, and preventive care services.

  • Facilitate completion of health risk assessments and communicate results when appropriate.

  • Maintain strict confidentiality and compliance with privacy requirements.

  • Deliver a concierge-level service experience with professionalism, empathy, and responsiveness.

 

Required Qualifications

  • Experience in healthcare, health insurance, benefits administration, patient advocacy, care coordination, or a related field.

  • Strong understanding of claims processing, health insurance, and medical billing.

  • Exceptional customer service and relationship-building skills through phone and email interactions.

  • Strong analytical, research, and problem-solving abilities.

  • Excellent written and verbal communication skills.

  • Proficiency with Microsoft Office, particularly Excel.

  • Ability to manage sensitive information with professionalism and discretion.

  • Ability to remain calm and resourceful when handling urgent or complex situations.

  • Willingness to travel weekly to downtown Grand Rapids, Michigan.

  • Non-tobacco user.

 

Preferred Qualifications

  • Experience working with Blue Cross Blue Shield of Michigan (BCBSM) plans.

  • Background in case management, patient advocacy, employee benefits, or related healthcare services.

  • Experience supporting executive or VIP populations.

Health Screener, Independent Contractor

Assist Health Plan Advocate and make a difference in people’s health! We act as an advocate for employers and their employees with their health insurance benefits. Our Wellness team provides services such as biometric health screenings, health coaching, nicotine cessation assistance, and more.

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This is an exciting PRN role with flexibility to work as much or as little as you like. As a Health Screener, you will go onsite to our corporate clients’ and perform biometric health screenings for their employees. You will be the face of our organization and can help others by educating employees on healthy lifestyle choices. As an independent contractor, you can accept or decline available screening opportunities based on your schedule. We are in Grand Rapids, MI and travel to our office is required for pick-up and drop-off of screening supplies. Client travel is primarily in Michigan, with most in West Michigan. Availability of screening events varies throughout the year, so a consistent weekly schedule is not available. Events are staffed with a preference given to those willing to consistently perform screenings.

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Health Screening Event Duties

  1. Perform biometric health screenings, including

    1. Finger poke – lipid panel and glucose

    2. Blood pressure check

    3. Height/weight measurement (BMI)

    4. Waist circumference

    5. Body fat percentage

    6. Nicotine test

  2. Review events calendar and promptly communicate availability with the HPA Wellness Coordinator

  3. Equipment pick-up, event station set-up, tear down, and return equipment to HPA office

 

Requirements

  1. First Aid/CPR Certified

  2. Medical background through education or work experience

  3. Excellent communication skills and able to effectively interact with people of diverse backgrounds

  4. Familiar with blood pressure, cholesterol, diabetes, and BMI

  5. Able to travel and work at our client companies’ locations

  6. Must be a non-nicotine user

  7. Able to lift 20 pounds

  8. Reliable transportation

 

Preferred Skills/Experience

  1. Medical certification such as RN, BSN, MA, LPN, CNA, Phlebotomist, or similar

  2. Motivational interviewing

  3. Nutrition/Fitness experience

  4. Available for occasional overnight travel

  5. Spanish speaking

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