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Phil, Inc

Client Escalations Specialist

Posted 10 Days Ago
Remote
Hiring Remotely in USA
50K-65K Annually
Senior level
Remote
Hiring Remotely in USA
50K-65K Annually
Senior level
Manage high-priority sales and client escalations involving prescription access and pharmacy processing. Coordinate resolutions across Client Success, Operations, Pharmacy Support, prescribers, payers, and pharmacies while meeting SLAs. Diagnose claim rejections, identify root causes, improve escalation workflows and documentation, communicate proactively with stakeholders, and analyze escalation trends to support staffing, operational planning, and scalable growth.
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Company Overview

Founded in 2015, PHIL is a Series D health-tech startup that is building a platform that interfaces between doctors, pharmacies, and patients to streamline the process of patients receiving prescriptions. This is a complex, archaic industry, and we've set out to change that.

PHIL’s B2B2C platform provides an end-to-end prescription management and delivery service. Our robust platform connects patients, prescribers, pharmacies, and manufacturers, enabling easy and affordable access to medicine. Through its digital stakeholder experiences, patient access services, market access solutions, and distribution models, pharma manufacturers can deliver affordable and timely therapy access to patients, resulting in more patients staying on their treatment plans longer. Consequently, pharma manufacturers are enabled for more innovation.

The team at PHIL is a group of like-minded individuals from varying backgrounds, passionate about creating a new and innovative healthcare platform that is focused on patient experience and overall human wellbeing. Ready to join our team of mission-driven, analytical, and passionate people? Keep reading!

Position Overview

PHIL is seeking a highly driven and solutions-oriented Client Escalations Specialist to support our growing Commercial and Client Success teams. This role is critical in responding to high-priority sales and client escalations, ensuring timely resolution and driving confidence across our sales organization.

This position will focus on managing complex prescription and access-related issues, coordinating cross-functional resolution efforts, and improving escalation workflows to support scale. Reporting to the Vice President of Healthcare Provider Engagement, you will serve as a key bridge between Sales, Operations, and external stakeholders to ensure a seamless experience and protect client relationships.

Responsibilities
  • Serve as the primary point of contact for high-priority sales and client escalations, ensuring timely, high-quality resolution in line with SLAs

  • Partner closely with Client Success team to drive confidence and enable account growth through responsive, solution-oriented escalation management

  • Coordinate cross-functional efforts across Operations, Pharmacy Support, and other internal teams to resolve complex prescription and access issues

  • Identify root causes of recurring escalations and partner with internal teams to drive process improvements and reduce future volume of escalations

  • Maintain clear and proactive communication with stakeholders, including internal teams, prescribers, and payer/pharmacy partners as needed

  • Support the evolution of escalation workflows, documentation, and tooling to improve efficiency and scalability as the business grows

  • Contribute to staffing and operational planning by identifying trends in escalation volume, particularly during key growth moments (e.g., new client launches, salesforce expansion)

  • Leverage expertise in pharmacy processing to accurately diagnose claim rejections (e.g., plan benefit exclusions, prior authorization requirements, or network restrictions) and identify whether the resolution requires intervention from the insurance payer, provider office, or partner pharmacy

Qualifications
  • Bachelor’s degree in Business, Healthcare Administration, or a related field (or equivalent experience)

  • 4–7+ years of experience in client support, escalation management, operations, or a similar function, preferably in healthcare or health-tech

  • Strong problem-solving skills with the ability to navigate ambiguity and manage complex, high-stakes situations

  • Experience working cross-functionally with Sales, Operations, and external stakeholders in a fast-paced environment

  • Excellent communication skills, with the ability to manage sensitive situations and maintain trust with internal and external partners

  • Proven ability to prioritize effectively and manage multiple escalations simultaneously while meeting SLAs

  • Data-driven mindset with experience identifying trends and driving process improvements

Benefits
  • Ground floor opportunity with one of the fastest-growing startups in health-tech

  • Fully remote working environment

  • Competitive compensation (commensurate with experience)

  • Full benefits (medical, dental, vision)

  • 401(k) contribution opportunity

PHIL Inc. is an equal-opportunity employer.

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