Software Methods, Incorporated · 1 month ago
Clinical Project Liaison
Media, PA
Full-time
Onsite
Mid Level
3+ years expSoftware Methods, Incorporated is seeking a full-time Clinical Project Liaison to assist their client in the Media, PA area. The role involves customer service and patient case coordination, managing transitions of care, and coordinating financial assistance programs for plan members.
ConsultingInformation TechnologySoftware
No H1B
Hiring Manager
Abbe Goldberg
Responsibilities
Ensure that plan members meet plan eligibility requirements
Act as primary point of contact for plan members
Serve as plan member advocate and enhance the collaborative relationship between the plan member, health care provider, and patient assistance program representatives
Document/record all interactions with members, health care providers, pharmacies, and financial assistance entities in the Customer Relationship Manager software (“CRM”) in a timely manner
Manage the transitions of care for outpatient infusion to home infusion, coordinate delivery drug and ancillary supplies, as well as compare pricing between our vendors to provide the best value for our clients
Process the intake and coordination of the pharmacogenomic (PGx) testing program
Provide exceptional customer service to internal and external customers; resolve any customer requests in a timely and accurate manner; escalates complaints accordingly
Review pending activities/events and specific customer requests to ensure excellent customer service and customer experience
Demonstrate proficiency and full understanding of the Company plan member 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
Coordinate access to patient assistance programs; provide assistance to plan members and physician staff to complete all necessary financial assistance program forms and applications in a timely manner
Coordinate delivery and verify receipt of financial assistance forms and applications to plan members, physician offices, and financial assistance programs
Verify drug dispenses to members and compile audit trail of source documents and information for each dispense
Report any financial assistance program trends to supervisor
Communicate with plan member’s health plan sponsor, Fund, or PBM as needed
Recommend improved processes and management methods to generate workflow optimization
Help with testing Envoy tickets prior to launch
Suggest/add new tickets into Envoy to help overall functionality and site improvements
Gather insights and recommendations from other Care Coordinators to present to management
Perform such other duties as needed or assigned by management
Qualification
Required
Minimum 3+ years customer service experience, insurance verification, healthcare reimbursement and/or pharmaceutical experience required
Excellent written and oral communication skill
Ability to multi-task and handle consistent workflow
Time management and prioritization skills
Computer, email, and MS Office competency
Preferred
Clinical experience such as nursing, medical assistant, or pharmacy technician is strongly preferred
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