Case Manager / Patient Advocate (non-clinical)

> Position: Case Manager / Patient Advocate (non-clinical) Location: Phoenix, AZ

Remote Status: Remote Job Id: 803 # of Openings: 0

This is a remote eligible position. Remote work eligibility is subject to all work from home criteria met and based on business need. Candidates must reside in the state of Arizona or Colorado.

Important Notice

Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @pharmacord.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.

Please Note:

• PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @pharmacord.com or @echo.newtownsoftware.com email address, or through our scheduling platform, Calendly.
• We will never request your bank account information at any stage of the hiring process.
• We will never send a check (electronic or physical) to purchase home office equipment.

If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at careers@pharmacord.com

When you join the team as the Case Manager / Patient Advocate (non-clinical), you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records. You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely. The Case Manager / Patient Advocate (non-clinical) role may be eligible for a remote working arrangement. Review our Benefits & Perks below to learn more!

A typical day in the Case Manager / Patient Advocate (non-clinical) role will include ownership of your patients cases from initiation to closure to include; benefit investigations, prior authorizations / denial appeals, determining financial qualifications for assistance programs and assisting patients or other callers/stakeholders through resolution (via email, inbound/outbound calls and using our patented technology, Lynk) by using your critical thinking skills and your knowledge of the program and industry rules and standards. This role requires a high level of ownership, attention to detail and patient focus and will put your problem-solving skills to the test!

A typical day in the life of a Case Manager / Patient Advocate (non-clinical) will include the following:

The responsibilities include, but are not limited to the following:

• Relationship Management

• Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients

• Manages all relationships in a manner that adheres to healthcare laws and regulations

• Communications

• Performs program welcome calls to patients

• Performs post Benefits Investigation calls to patients and physicians explaining coverage options

• Manages all client inquiries unable to be determined by client through reporting

• Manages HCP inquiries, as applicable, pursuant to business rules

• Inbound Call Management

• Manages inbound calls as directed by the program-approved FAQs

• Triage patients to internal or external resources as appropriate

• Personalized Case Management

• Provides personalized case management to patients and HCPs including outbound communication to HCPs and patients to communicate benefit coverage and next steps in obtaining coverage

• Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed

• Identifies and communicates patient's plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions

• Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome

• Coordinates nurse teach with field-based nurse educators, as applicable to program

• Supports adherence services through coordination of nurse follow up, as applicable to program

• Identifies peer support resources for patients

• Coordinates shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacy

• Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program

• Reports adverse events, Product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules

• Documents all activities within the PharmaCord Lynk system in accordance with business requirements

This job might be for you if (must have requirements of the role):

Successful candidates possess the following personal attributes:

• Detail oriented
• Professional telephone etiquette
• Self-awareness of your own emotions and the potential impact on others
• Basic computer knowledge
• Ability to multitask effectively
• Ability to recognize emotions and their effects
• Sureness about self-worth and capabilities
• Manage disruptive impulses
• Maintain standards of honesty and integrity
• Takes responsibility for performance
• Adapts and handles change with flexibility
• Is innovative and open to new ideas
• Achievement driven; constant striving to improve or to meet a standard of excellence
• Aligns with the goals of the group or organization
• Ready to take initiative and act on opportunities
• Be optimistic and pursue goals persistently despite obstacles and setbacks
• Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
• Clear and concise communication
• Positive attitude!

Requirements:

• Bachelor's degree strongly preferred or equivalent experience required
• Customer service and healthcare industry experience is preferred but not required
• Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required
• Bi-lingual skills in Spanish and English are a plus.
• We are located in Jeffersonville, IN. PharmaCord does reimburse for tolls if applicable, at the frequent user rate. This rate is applied after 40 trips per month (valued at $678.60 per year).
• Remote work eligibility is subject to all work from home criteria met and based on business need

Physical Demands & Work Environment:

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Must be able to type 35 WPM with 97% accuracy.
• Although very minimal, flexibility to travel as needed is preferred.
• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Once you land this position, you'll get to enjoy:

Our Benefits & Perks

• Company paid Short-term Disability (STD)

• Increased competitive 401(k) company match up to 4%

• Affordable Medical, Dental, and Vision benefits - PharmaCord covers 75% of Medical Premiums for our employees

• Wellness discounts of up to $260 per year for participation in wellness program

• Annual HSA employer contribution

• Company paid and voluntary Life Insurance options

• Voluntary Life, AD&D and Long-Term Disability Insurances

• Paid Parental Leave of Absence

• Wellness and Employee Assistance Programs

• PTO benefits, flex days and paid holidays

• Employee Referral Program

• Ambassador Program

• Tuition reimbursement program up to $5,000 per year

Competitive Compensation & Flexible Working

• Competitive starting pay rates
• Toll reimbursement program (valued at $678.60 per year)
• This role may be eligible for a remote working arrangement, subject to all work from home criteria met and based on business need.
• Multiple shift options between 8 AM and 9 PM Monday - Friday

A Career You'll Love

• Working for PharmaCord - voted Best Places to Work in Kentucky for 2019 and 2021
• Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
• Opportunities for advancement with a company that supports personal and professional growth
• A challenging, stimulating work environment that encourages new ideas
• Exposure to many learning and development opportunities
• Playing a crucial part in the lives of our patients, physicians, and pharmacies by enhancing the patient services experience
• Our state of the art Headquarters building offering many amenities including collaborations spaces, outdoor dining, walking path, marketplace caf\u00e9, and more!

Any offer of employment is contingent on completion of a background check to company standard. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

At PharmaCord, we don't just accept difference \u2013 we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. PharmaCord is proud to be an equal opportunity employer.

PharmaCord is unable to sponsor employees at this time.

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