Software Methods, Incorporated · 1 month ago
Clinical Care Coordinator
Overland Park, KS
Full-time
Onsite
Mid Level
3+ years expSoftware Methods, Incorporated is seeking a Clinical Care Coordinator to join their client's Patient Advocacy Business Operational Team located in Overland Park, Kansas. The role involves connecting members with alternative medication funding and managing complex clinical conditions in infusion settings.
ConsultingInformation TechnologySoftware
No H1B
Hiring Manager
Abbe Goldberg
Responsibilities
Manage, directly, and work with complex members
Research available programs for infused medications
Establish the relationship with participants and their foundation along with provider going forward in transition
Work with provider to ensure they order medications through manufacturer programs and work with TPA to get replacement drug set up
Increase the use of telecommunications and IT services to increase efficiencies
Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software in a timely manner
Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
Demonstrate proficiency and full understanding of Payer Matrix patient database including data elements, definition of case statuses and outcomes, case documentation requirements and the importance of meeting company metrics
Research and identify available financial assistance programs for specialty drugs that are prescribed for active members
Report any financial assistance program trends to supervisor
Communicate with member’s health plan sponsor, Fund, or PBM as needed
Recommend improved processes and management methods to generate workflow optimization
Work on problems where analysis of data requires a review of a variety of factors; exercise judgment within defined standard operating procedures to determine appropriate action
Typically receives little instruction on day-to-day work, general instructions on new assignments
Perform such other duties as needed or assigned by management
Qualification
Required
Minimum 3+ years customer service experience
Excellent written and oral communication skills
Ability to multi-task and handle consistent workflow
Time management and prioritization skills
Computer, email and MS Office competency
Preferred
Specialty pharmacy, home infusion or physician infusion
Certified Pharmacy Technician
Medical Assistant Certification
Bilingual communication skills
Company
Software Methods, Incorporated
Software Methods, Incorporated is a full-service, privately held consulting firm that specializes in providing technical and business specialists to assist clients with specific IT needs.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Steve Sherer
Co-Founder
Company data provided by crunchbase