Dublin, OH
42 days ago
Sr Coordinator, Individualized Care

What Individualized Care contributes to Cardinal Health

Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.

Responsibilities

The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits (pharmacy and medical benefits), and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. 

Investigate and resolve patient/physician inquiries and concerns in a timely manner Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate Proactive follow-up with various contacts to ensure patient access to therapy Demonstrate superior customer support talents Prioritize multiple, concurrent assignments and work with a sense of urgency Must communicate clearly and effectively in both a written and verbal format Must demonstrate a superior willingness to help external and internal customersWorking alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiryMust self-audit intake activities to ensure accuracy and efficiency for the programMake outbound calls to patient and/or provider to discuss any missing information as applicableAssess patient’s financial ability to afford therapy and provide hand on guidance to appropriate financial assistanceDocumentation must be clear and accurate and stored in the appropriate sections of the databaseMust track any payer/plan issues and report any changes, updates, or trends to managementHandle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the clientAbility to effectively mediate situations in which parties are in disagreement to facilitate a positive outcomeConcurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all partiesSupport team with call overflow and intake when neededProactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.

Qualifications

3-6 years of experience, preferredHigh School Diploma, GED or technical certification in related field or equivalent experience, preferred

What is expected of you and others at this level

Effectively applies knowledge of job and company policies and procedures to complete a variety of assignmentsIn-depth knowledge in technical or specialty areaApplies advanced skills to resolve complex problems independentlyMay modify process to resolve situationsWorks independently within established procedures; may receive general guidance on new assignmentsMay provide general guidance or technical assistance to less experienced team members

TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. 

This position is full-time (40 hours/week).  Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.

REMOTE DETAILS: All U.S. residents are eligible to apply to this position. You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)

Upload speed of 5Mbps (megabyte per second)Ping Rate Maximum of 30ms (milliseconds)Hardwired to the routerSurge protector with Network Line Protection for CAH issued equipment

Anticipated hourly range: $21.20 per hour - $25 per hour

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Medical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programs

Application window anticipated to close: 06/29/2024 *if interested in opportunity, please submit application as soon as possible.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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