Function in the Medication Support Navigator - Care Coordinator role supporting both regions and the Medication Navigator team.
Ensure timely completion of referrals and supports Medication Support Navigator team in timely completion.
Direct people leadership of the Medication Support Navigator team including 1:1s and performance management.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans.
Supports outbound calls and data/benefit analysis related to various clinical pharmacy programs.
Performs advanced administrative/operational/member support duties.
Initiates and responds professionally to a high volume of calls in a timely and efficient manner.
Capital Blue Cross promises to go the extra mile for their team and community. It appears to be a large company, that values its employees, as they are consistently voted one of the “Best Places to Work in PA”.
Manage all aspects of Patient Support Center program operations and lead a team of Case Manager Supervisors.
Monitor team activity, Service Level Agreements (SLAs), and Key Performance Indicators (KPIs).
Serve as the subject matter expert (SME) for the Case Manager role and program needs with key stakeholders.
Novartis focuses on the needs of people and a community committed to meeting them through innovative science to improve lives. They foster a collaborative environment where individuals can learn and thrive together.
Support daily pharmacy operational workflows and administrative tasks to ensure timely and accurate prescription processing.
Provide frontline operational support to clinicians and internal teams for routine pharmacy workflow questions and requests.
Collaborate with the CX team to assist with basic prescription-related member issues and inquiries.
Lifeforce is the world's largest longevity medicine program. They bring together diagnostics, clinical experts, health coaches, and customized protocols to help people understand and optimize their bodies, functioning now and decades to come. They seem to have a modern and proactive company culture.
Conduct high-volume calls with patients, providers, and pharmacies using established protocols.
Collaborate with patients to remove barriers to medication adherence and escalate clinical barriers to a pharmacist.
Accurately document all interactions, outcomes, and identified barriers in appropriate systems.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Oversee prior authorization technicians and administrative PA functions.
Analyze data and provide staffing, workflow, and system enhancement recommendations.
Investigate/resolve escalated issues from clients and providers.
Judi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. They have a comprehensive Enterprise Health Platform that consolidates all claim administration-related workflows in one scalable, secure platform.
Handle inbound patient requests via phone, text, and email by reviewing order details to provide accurate information.
Partner with internal and external operational teams to ensure prescriptions are processed and delivered successfully.
Assist patients in navigating their portal and explaining insurance coverage to help them receive medication promptly.
Helpware is a technology-driven company that provides Customer Experience & Operational Support for modern companies. It has offices in the USA, Ukraine, Mexico, and the Philippines and focuses on leveraging empowered teams, innovative solutions, and technologies to deliver best-in-class services to partners.
Review and process patients’ enrollment forms for the Patient Assistance Program.
Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks.
Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process.
CareTria aims to help patients access coverage for their prescribed medications. We provide telephone support and administrative functions. The company offers comprehensive benefits and is an Equal Opportunity Employer, indicating a commitment to a positive and inclusive work environment.
Supervise and mentor a team of mobile phlebotomists, ensuring quality and compliance.
Manage logistics, including supply chain and appointment assignments, to maximize efficiency.
Handle employee grievances and customer service escalations, aiming for positive outcomes.
Getlabs is a platform for at-home diagnostics, enabling healthcare organizations to send mobile phlebotomists to patients' homes. The company has raised $50M and aims to expand access to diagnostics, fostering a dynamic and ambitious work environment.
Act as a designated support resource for assigned Account Managers.
Responsible for troubleshooting escalated items related to claims, eligibility, and general account maintenance.
Collaborate with cross-functional internal teams for client issue resolution.
SmithRx is a rapidly growing, venture-backed Health-Tech company that aims to disrupt the Pharmacy Benefit Management (PBM) sector. They have hundreds of thousands of members onboarded since 2016 and pride themselves on a mission-driven and collaborative culture.
Answer new referral intake and refill calls in a timely and professional manner, accurately updating information in the computer system.
Contact patients to collect necessary information for their medical chart, schedule deliveries for refills, and set up shipping arrangements as needed.
Work cooperatively with all departments to maintain accurate patient records, exemplify excellent customer service, and participate in training programs and meetings.
VytlOne is transforming the pharmacy industry to create healthier lives through services across Pharmacy Benefit Management, Pharmacy Management, Specialty Pharmacy, 340B, Rebate and Formulary Management, and Pharmacies. The company fosters a diverse, progressive, and team-oriented culture that promotes a work-from-home model and innovation.